LORETTA M KLAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142045

License Status

NOT RENEWED

Business

First Name

LORETTA

Middle

Last Name

KLAK

Business Name

LORETTA M KLAK

Original Issue Date

04/30/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BUCKINGHAM

State

Zip

60917

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2009