JEROME GLEN KERTZ - Pharmacist License in Wisconsin | # 051030502

JEROME GLEN KERTZ

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030502

License Status

INACTIVE

Business

N

First Name

JEROME GLEN

Last Name

KERTZ

Business Name

JEROME GLEN KERTZ

Original Issue Date

07/25/1975

Effective Date

07/25/1975

Expiration Date

03/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005