ERIC R KALLWITZ MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110567

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

KALLWITZ

Suffix

Business Name

ERIC R KALLWITZ MD

Original Issue Date

05/22/1995

Effective Date

05/22/1995

Expiration Date

03/31/1996

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

10/17/2005