THOMAS W TIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120216

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

TIETZ

Business Name

THOMAS W TIETZ

Original Issue Date

03/05/1998

Effective Date

03/05/1998

Expiration Date

03/31/2000

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005