STACY L KLOSTERMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171674

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

KLOSTERMANN

Business Name

STACY L KLOSTERMANN

Original Issue Date

09/27/2006

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/04/2010