TYSON JEFFREY LOTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157949

License Status

NOT RENEWED

Business

First Name

TYSON

Middle

JEFFREY

Last Name

LOTZ

Business Name

TYSON JEFFREY LOTZ

Original Issue Date

11/18/2004

Effective Date

02/10/2011

Expiration Date

03/31/2012

City

ST PETER

State

Zip

62880

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/07/2012