DANIEL A KICKERTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071538

License Status

NOT RENEWED

Business

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

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005