ANDREA M WOLLITZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142525

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

WOLLITZ

Business Name

ANDREA M WOLLITZ

Original Issue Date

05/17/2002

Effective Date

05/17/2002

Expiration Date

03/31/2003

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005