JASON R KLABACHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101395

License Status

NOT RENEWED

Business

First Name

JASON R

Last Name

KLABACHA

Business Name

JASON R KLABACHA

Original Issue Date

10/01/1992

Effective Date

10/01/1992

Expiration Date

03/31/1995

City

ORLAND PARK

State

Zip

60462

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005