JERAE ALANE PUETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216567

License Status

NOT RENEWED

Business

First Name

JERAE

Middle

ALANE

Last Name

PUETZ

Business Name

JERAE ALANE PUETZ

Original Issue Date

03/14/2013

Effective Date

03/30/2016

Expiration Date

03/31/2017

City

WENONA

State

Zip

61377

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/10/2017