IDA G NITZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096433

License Status

NOT RENEWED

Business

First Name

IDA G

Last Name

NITZ

Business Name

IDA G NITZ

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

03/31/1995

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005