KERRY L MINTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077911

License Status

NOT RENEWED

Business

First Name

KERRY L

Last Name

MINTZ

Business Name

KERRY L MINTZ

Original Issue Date

02/28/1983

Effective Date

02/28/1983

Expiration Date

03/31/1984

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005