BURT DAVID GOLTZ - Pharmacist License in Illinois | # 049057646

BURT DAVID GOLTZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057646

License Status

NOT RENEWED

Business

N

First Name

BURT DAVID

Last Name

GOLTZ

Business Name

BURT DAVID GOLTZ

Original Issue Date

05/02/1972

Effective Date

05/02/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005