JEROME GLEN KERTZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030502

License Status

INACTIVE

Business

First Name

JEROME GLEN

Last Name

KERTZ

Business Name

JEROME GLEN KERTZ

Original Issue Date

07/25/1975

Effective Date

07/25/1975

Expiration Date

03/31/1990

City

GREENFIELD

State

Zip

53220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005