JASON BRIAN KLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183432

License Status

NOT RENEWED

Business

First Name

JASON

Middle

BRIAN

Last Name

KLIS

Business Name

JASON BRIAN KLIS

Original Issue Date

04/08/2008

Effective Date

01/25/2013

Expiration Date

03/31/2014

City

KILDEER

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014