JEFFREY DAVID ZIETLOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253871

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

DAVID

Last Name

ZIETLOW

Business Name

JEFFREY DAVID ZIETLOW

Original Issue Date

10/23/2017

Effective Date

10/23/2017

Expiration Date

03/31/2018

City

CROSS PLAINS

State

Zip

53528

Ever Disciplined

LastModifiedDate

06/19/2018