SUSAN M WILTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077196

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

WILTZ

Business Name

SUSAN M WILTZ

Original Issue Date

10/15/1982

Effective Date

10/15/1982

Expiration Date

03/31/1986

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005