KENNETH R HETZEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030643

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

HETZEL

Business Name

KENNETH R HETZEL

Original Issue Date

09/29/1975

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

06/06/2007