DANIEL N LIEDTKE - Pharmacist License in Illinois | # 049160272

DANIEL N LIEDTKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160272

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

N

Last Name

LIEDTKE

Business Name

DANIEL N LIEDTKE

Original Issue Date

04/18/2005

Effective Date

03/09/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010