NATHAN DONALD WILTGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267419

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

DONALD

Last Name

WILTGEN

Business Name

NATHAN DONALD WILTGEN

Original Issue Date

08/19/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021