JORDAN BRADLEY KLOSTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174214

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

BRADLEY

Last Name

KLOSTER

Business Name

JORDAN BRADLEY KLOSTER

Original Issue Date

02/08/2007

Effective Date

02/08/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008