ELIZABETH O KIETZMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130194

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

KIETZMANN

Business Name

ELIZABETH O KIETZMANN

Original Issue Date

03/22/2000

Effective Date

03/22/2000

Expiration Date

03/31/2004

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/20/2005