JAYNE E KROTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058817

License Status

NOT RENEWED

Business

First Name

JAYNE E

Last Name

KROTZ

Business Name

JAYNE E KROTZ

Original Issue Date

12/09/1972

Effective Date

12/09/1972

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005