PATRICIA J HERTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140382

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

HERTZ

Business Name

PATRICIA J HERTZ

Original Issue Date

01/25/2002

Effective Date

01/25/2002

Expiration Date

03/31/2003

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005