AUDRA L DE KLERK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219853

License Status

NOT RENEWED

Business

First Name

AUDRA

Middle

Last Name

DE KLERK

Business Name

AUDRA L DE KLERK

Original Issue Date

08/08/2013

Effective Date

02/28/2014

Expiration Date

03/31/2015

City

DAVIS JUNCTION

State

Zip

61020

County

OGLE

Ever Disciplined

LastModifiedDate

05/11/2015