CLARKE ALLAN KUELTZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144379

License Status

NOT RENEWED

Business

First Name

CLARKE

Middle

ALLAN

Last Name

KUELTZO

Business Name

CLARKE ALLAN KUELTZO

Original Issue Date

08/29/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MANHATTAN

State

Zip

60442

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2009