HOLLY A KLISIAK - Pharmacist License in Indiana | # 049203130

HOLLY A KLISIAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203130

License Status

NOT RENEWED

Business

N

First Name

HOLLY

Middle

A

Last Name

KLISIAK

Prefix

MR

Business Name

HOLLY A KLISIAK

Original Issue Date

03/10/2011

Effective Date

03/10/2011

Expiration Date

03/31/2012

State

IN

Ever Disciplined

N

LastModifiedDate

05/07/2012