ELYCE MARIE KLUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150153

License Status

NOT RENEWED

Business

First Name

ELYCE

Middle

MARIE

Last Name

KLUZ

Business Name

ELYCE MARIE KLUZ

Original Issue Date

08/21/2003

Effective Date

08/21/2003

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005