TABITHA G TIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213394

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

TIETZ

Prefix

Business Name

TABITHA G TIETZ

Original Issue Date

09/10/2012

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015