TIMOTHY G HERZOG - Pharmacist License in Illinois | # 049117770

TIMOTHY G HERZOG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117770

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

G

Last Name

HERZOG

Business Name

TIMOTHY G HERZOG

Original Issue Date

06/04/1997

Effective Date

06/04/1997

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005