MARK FIETSCH - Pharmacist License in Illinois | # 049072829

MARK FIETSCH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072829

License Status

NOT RENEWED

Business

N

First Name

MARK

Last Name

FIETSCH

Business Name

MARK FIETSCH

Original Issue Date

04/18/1980

Effective Date

04/18/1980

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005