AMY L KLOOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092416

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

KLOOS

Business Name

AMY L KLOOS

Original Issue Date

03/02/1990

Effective Date

03/02/1990

Expiration Date

03/31/1991

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/17/2005