GAGE HERTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215029

License Status

NOT RENEWED

Business

First Name

GAGE

Last Name

HERTZ

Prefix

Business Name

GAGE HERTZ

Original Issue Date

12/14/2012

Effective Date

02/11/2016

Expiration Date

03/31/2017

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2017