KELLY MICHELLE LUTZOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049309707

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MICHELLE

Last Name

LUTZOW

Business Name

KELLY MICHELLE LUTZOW

Original Issue Date

02/07/2024

Effective Date

02/07/2024

Expiration Date

03/31/2025

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/08/2025