BRIAN K TIETJENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113987

License Status

NOT RENEWED

Business

First Name

BRIAN K

Last Name

TIETJENS

Business Name

BRIAN K TIETJENS

Original Issue Date

04/13/1996

Effective Date

02/22/2010

Expiration Date

03/31/2011

City

GLEN ELLYN

State

Zip

60138

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011