LORI ANN KLOCKENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081714

License Status

NOT RENEWED

Business

First Name

LORI ANN

Last Name

KLOCKENGA

Business Name

LORI ANN KLOCKENGA

Original Issue Date

09/24/1985

Effective Date

09/24/1985

Expiration Date

03/31/1990

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005