THOMAS W TIETZ - Pharmacist License in Illinois | # 049076864

THOMAS W TIETZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076864

License Status

NOT RENEWED

Business

N

First Name

THOMAS W

Last Name

TIETZ

Business Name

THOMAS W TIETZ

Original Issue Date

07/23/1982

Effective Date

07/23/1982

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005