MELISSA R KLOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210831

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

KLOSS

Business Name

MELISSA R KLOSS

Original Issue Date

05/05/2012

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2015