THOMAS PETER KLIS MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195775

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

PETER

Last Name

KLIS

Business Name

THOMAS PETER KLIS MD

Original Issue Date

12/09/2009

Effective Date

02/21/2013

Expiration Date

03/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014