DOREEN ELLEN NITZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183389

License Status

NOT RENEWED

Business

First Name

DOREEN

Middle

ELLEN

Last Name

NITZ

Business Name

DOREEN ELLEN NITZ

Original Issue Date

04/07/2008

Effective Date

04/07/2008

Expiration Date

03/31/2009

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

05/06/2009