OPAL ANNETTE STILTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124857

License Status

NOT RENEWED

Business

First Name

OPAL

Middle

ANNETTE

Last Name

STILTZ

Business Name

OPAL ANNETTE STILTZ

Original Issue Date

03/01/1999

Effective Date

03/01/1999

Expiration Date

03/31/2000

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

10/21/2005