KEITH R PUETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196166

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

PUETZ

Business Name

KEITH R PUETZ

Original Issue Date

01/12/2010

Effective Date

02/17/2011

Expiration Date

03/31/2012

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2015