THOMAS W TIETZ - Pharmacist License in Illinois | # 049120216

THOMAS W TIETZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120216

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

W

Last Name

TIETZ

Business Name

THOMAS W TIETZ

Original Issue Date

03/05/1998

Effective Date

03/05/1998

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005