JAMIE MARIE KLEISS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138698

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

MARIE

Last Name

KLEISS

Business Name

JAMIE MARIE KLEISS

Original Issue Date

10/16/2001

Effective Date

01/22/2010

Expiration Date

03/31/2011

City

PHILO

State

Zip

61864

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2011