MARC WENDEL HETZEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122233

License Status

NOT RENEWED

Business

First Name

MARC

Middle

WENDEL

Last Name

HETZEL

Business Name

MARC WENDEL HETZEL

Original Issue Date

08/04/1998

Effective Date

08/04/1998

Expiration Date

03/31/1999

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005