KELLIE M LUTGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184252

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

Last Name

LUTGEN

Prefix

Business Name

KELLIE M LUTGEN

Original Issue Date

05/14/2008

Effective Date

03/02/2012

Expiration Date

03/31/2013

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013