ADAM ROBERT LUTTIG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204429

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

ROBERT

Last Name

LUTTIG

Business Name

ADAM ROBERT LUTTIG

Original Issue Date

05/26/2011

Effective Date

03/29/2012

Expiration Date

03/31/2013

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013