LORI LYNN KIETZMAN - Pharmacist License in Illinois | # 049163497

LORI LYNN KIETZMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163497

License Status

NOT RENEWED

Business

N

First Name

LORI

Middle

LYNN

Last Name

KIETZMAN

Business Name

LORI LYNN KIETZMAN

Original Issue Date

09/02/2005

Effective Date

02/07/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013