ELAINE A LIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147591

License Status

NOT RENEWED

Business

First Name

ELAINE

Middle

Last Name

LIETZ

Business Name

ELAINE A LIETZ

Original Issue Date

03/25/2003

Effective Date

03/16/2021

Expiration Date

05/31/2022

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

07/27/2022