LISA A KUELTZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100418

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

KUELTZO

Business Name

LISA A KUELTZO

Original Issue Date

06/15/1992

Effective Date

06/15/1992

Expiration Date

03/31/1998

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005