GEORGINA MICHELLE KLOOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138486

License Status

NOT RENEWED

Business

First Name

GEORGINA

Middle

MICHELLE

Last Name

KLOOS

Business Name

GEORGINA MICHELLE KLOOS

Original Issue Date

09/27/2001

Effective Date

09/27/2001

Expiration Date

03/31/2002

City

TRENTON

State

Zip

62293

County

CLINTON

Ever Disciplined

LastModifiedDate

12/06/2005