LELAND E FETZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019806

License Status

NOT RENEWED

Business

First Name

LELAND E

Last Name

FETZER

Business Name

LELAND E FETZER

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005