DOMINIC MICHAEL GOLTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276743

License Status

NOT RENEWED

Business

First Name

DOMINIC

Middle

MICHAEL

Last Name

GOLTZ

Business Name

DOMINIC MICHAEL GOLTZ

Original Issue Date

10/17/2020

Effective Date

10/17/2020

Expiration Date

03/31/2021

City

ROMEOVILLE

State

Zip

60446

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021