Burt David Goltz
ExpiredIllinois license 049057646
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049057646
- Status
- Expired (Not Renewed)
- First issued
- May 2, 1972
- Expired
- January 1, 1997
- License holder
- Burt David Goltz
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/02/1972
Contact
Chicago, IL 60626
Cook County