ANTHONY I KLOTKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123783

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

KLOTKA

Business Name

ANTHONY I KLOTKA

Original Issue Date

11/17/1998

Effective Date

11/17/1998

Expiration Date

03/31/2002

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

12/06/2005