RUSSEL G HERTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030386

License Status

NOT RENEWED

Business

First Name

RUSSEL G

Last Name

HERTZ

Business Name

RUSSEL G HERTZ

Original Issue Date

04/16/1975

Effective Date

04/16/1975

Expiration Date

03/31/1986

City

NEW PROVIDENCE

State

Zip

07974

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005