TRAVIS B KURTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161065

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

KURTZ

Business Name

TRAVIS B KURTZ

Original Issue Date

05/17/2005

Effective Date

05/17/2005

Expiration Date

03/31/2006

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

05/11/2006