TOMASZ J PETELENZ
Pharmacy - Limited Controlled Substance Individual
Utah 121382-8912 Expired
This Utah license was held by TOMASZ J PETELENZ. The license is no longer active. It was granted on 12/30/1992 and expired on 12/31/1994
LICENSE DETAILS
- License Number: 121382-8912
- Category: LIMITED CONTROLLED SUBSTANCE-INDIVIDUAL
- Status: Expired
- Date Granted: 12/30/1992 (over 32 years ago)
- Expiry Date: 12/31/1994 (over 30 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 84119