License Directory

John G Dietrich Md

Expired

Illinois 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