PRIYATMA WIRTH - Pharmacist License in Illinois | # 049150169

PRIYATMA WIRTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150169

License Status

NOT RENEWED

Business

N

First Name

PRIYATMA

Last Name

WIRTH

Business Name

PRIYATMA WIRTH

Original Issue Date

08/21/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008