DOMINIC MICHAEL GOLTZ - Pharmacist License in Illinois | # 049276743

DOMINIC MICHAEL GOLTZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276743

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021