MARK W KRIETEMEYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153512

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

KRIETEMEYER

Business Name

MARK W KRIETEMEYER

Original Issue Date

03/09/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SIGEL

State

Zip

62462

County

SHELBY

Ever Disciplined

LastModifiedDate

05/02/2008