LISA A KUELTZO - Pharmacist License in Illinois | # 049100418

LISA A KUELTZO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100418

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

A

Last Name

KUELTZO

Business Name

LISA A KUELTZO

Original Issue Date

06/15/1992

Effective Date

06/15/1992

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005