LISA A WIRTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156383

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

WIRTZ

Business Name

LISA A WIRTZ

Original Issue Date

08/04/2004

Effective Date

02/20/2009

Expiration Date

03/31/2010

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/04/2010