AMBER R TIETZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218227

License Status

INACTIVE

Business

First Name

AMBER

Middle

Last Name

TIETZ

Prefix

Business Name

AMBER R TIETZ

Original Issue Date

05/28/2013

Effective Date

05/28/2013

Expiration Date

03/31/2014

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

01/09/2014