MARY D LIEDTKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072421

License Status

NOT RENEWED

Business

First Name

MARY D

Last Name

LIEDTKE

Business Name

MARY D LIEDTKE

Original Issue Date

01/24/1980

Effective Date

01/24/1980

Expiration Date

03/31/1990

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005