KELLY D WIRTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081978

License Status

NOT RENEWED

Business

First Name

KELLY D

Last Name

WIRTZ

Business Name

KELLY D WIRTZ

Original Issue Date

12/06/1985

Effective Date

12/06/1985

Expiration Date

03/31/1987

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005