David Diederich
ExpiredIllinois license 049061741
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049061741
- Status
- Expired (Not Renewed)
- First issued
- June 21, 1974
- Expired
- January 1, 1997
- License holder
- David Diederich
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/21/1974
Contact
Springfield, IL 62704
Sangamon County