NATHAN R CLEMENTZ - Pharmacist License in Illinois | # 049158739

NATHAN R CLEMENTZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158739

License Status

NOT RENEWED

Business

N

First Name

NATHAN

Middle

R

Last Name

CLEMENTZ

Business Name

NATHAN R CLEMENTZ

Original Issue Date

01/04/2005

Effective Date

01/04/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006