LYSLE R PIETSCH JR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028556

License Status

INACTIVE

Business

First Name

LYSLE R

Last Name

PIETSCH JR

Business Name

LYSLE R PIETSCH JR

Original Issue Date

01/01/1997

Effective Date

02/14/2012

Expiration Date

03/31/2014

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/09/2014