KEVIN B WIRTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079555

License Status

NOT RENEWED

Business

First Name

KEVIN B

Last Name

WIRTH

Business Name

KEVIN B WIRTH

Original Issue Date

03/13/1984

Effective Date

03/13/1984

Expiration Date

03/31/1986

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2007