MARK FIETSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072829

License Status

NOT RENEWED

Business

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

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005