LORRAINE L KUNTZELMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102926

License Status

NOT RENEWED

Business

First Name

LORRAINE L

Last Name

KUNTZELMAN

Business Name

LORRAINE L KUNTZELMAN

Original Issue Date

04/01/1993

Effective Date

04/01/1993

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005