KEVIN M LUITJOHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132394

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

LUITJOHAN

Business Name

KEVIN M LUITJOHAN

Original Issue Date

08/29/2000

Effective Date

08/29/2000

Expiration Date

03/31/2001

City

GERMANTOWN

State

Zip

62245

County

CLINTON

Ever Disciplined

LastModifiedDate

10/21/2005