JUSTIN ROBERT WENTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196062

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

ROBERT

Last Name

WENTZ

Business Name

JUSTIN ROBERT WENTZ

Original Issue Date

01/04/2010

Effective Date

03/11/2011

Expiration Date

03/31/2012

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012