KELLY M KLUNICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205534

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

KLUNICK

Business Name

KELLY M KLUNICK

Original Issue Date

07/22/2011

Effective Date

02/10/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018