STEVEN M KLOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124745

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

KLOS

Business Name

STEVEN M KLOS

Original Issue Date

02/19/1999

Effective Date

02/19/1999

Expiration Date

03/31/2000

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005