EGON W TIETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240601

License Status

NOT RENEWED

Business

First Name

EGON W

Last Name

TIETZ

Business Name

EGON W TIETZ

Original Issue Date

03/30/2016

Effective Date

03/30/2016

Expiration Date

03/31/2017

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017