JERRIE ANN LAUTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061446

License Status

NOT RENEWED

Business

First Name

JERRIE ANN

Last Name

LAUTZ

Business Name

JERRIE ANN LAUTZ

Original Issue Date

05/10/1974

Effective Date

05/10/1974

Expiration Date

01/01/1997

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005