JONATHON L KLWBERTANZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138519

License Status

NOT RENEWED

Business

First Name

JONATHON

Middle

Last Name

KLWBERTANZ

Business Name

JONATHON L KLWBERTANZ

Original Issue Date

10/01/2001

Effective Date

10/01/2001

Expiration Date

03/31/2003

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005