Pharmacist
PHARMACY TECHNICIAN
049057137
NOT RENEWED
N
MARTIN
PILTZ
MARTIN PILTZ
11/30/1971
01/01/1997
SKOKIE
IL
60076
COOK
Y
10/17/2005
1989003098
Termination
01/09/1991
Submitted a non-bankable remittance to the Department.