EDITH MARY KLEVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110170

License Status

NOT RENEWED

Business

First Name

EDITH MARY

Last Name

KLEVEN

Business Name

EDITH MARY KLEVEN

Original Issue Date

04/11/1995

Effective Date

04/11/1995

Expiration Date

03/31/2003

City

HEBRON

State

Zip

60034

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/20/2005