THOMAS W TIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076864

License Status

NOT RENEWED

Business

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

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005