SHEILA C KITZMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094084

License Status

NOT RENEWED

Business

First Name

SHEILA C

Last Name

KITZMAN

Business Name

SHEILA C KITZMAN

Original Issue Date

08/07/1990

Effective Date

08/07/1990

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005