WAYNE C LENZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023038

License Status

INACTIVE

Business

First Name

WAYNE C

Last Name

LENZ

Business Name

WAYNE C LENZ

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005