MARK FIETSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086301

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

FIETSCH

Business Name

MARK FIETSCH

Original Issue Date

04/09/1988

Effective Date

04/09/1988

Expiration Date

03/31/2000

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005