LAWRENCE A WIRTH - Pharmacist License in Illinois | # 049141095

LAWRENCE A WIRTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141095

License Status

NOT RENEWED

Business

N

First Name

LAWRENCE

Middle

A

Last Name

WIRTH

Business Name

LAWRENCE A WIRTH

Original Issue Date

03/01/2002

Effective Date

03/01/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005