DANIEL A KICKERTZ - Pharmacist License in Illinois | # 049071538

DANIEL A KICKERTZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071538

License Status

NOT RENEWED

Business

N

First Name

DANIEL A

Last Name

KICKERTZ

Business Name

DANIEL A KICKERTZ

Original Issue Date

07/13/1979

Effective Date

07/13/1979

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005