GINA LYNN KLOESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121457

License Status

NOT RENEWED

Business

First Name

GINA

Middle

LYNN

Last Name

KLOESS

Business Name

GINA LYNN KLOESS

Original Issue Date

06/11/1998

Effective Date

06/11/1998

Expiration Date

03/31/2003

City

SMITHTON

State

Zip

62285

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005