John G Dietrich Md
ExpiredIllinois license 097000096
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 097000096
- Status
- Expired (Not Renewed)
- First issued
- April 26, 1972
- Expired
- December 31, 2004
- Entity type
- Business
Classifications
- Other Controlled Substance (Pharmacy) Pharmacy
More from the license record
- Controlled substance schedules
- I II III IV V
Contact
Springfield, IL 62781
Sangamon County