PETER W DETLOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138611

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

DETLOFF

Business Name

PETER W DETLOFF

Original Issue Date

10/09/2001

Effective Date

10/09/2001

Expiration Date

03/31/2003

City

INGLESIDE

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005