THERESA L KLUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156738

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

KLUNK

Business Name

THERESA L KLUNK

Original Issue Date

08/17/2004

Effective Date

02/10/2010

Expiration Date

03/31/2011

City

MORO

State

Zip

62067

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011