ETHAN KLEPITSCH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255983

License Status

NOT RENEWED

Business

Title

First Name

ETHAN

Last Name

KLEPITSCH

Business Name

ETHAN KLEPITSCH MD

Original Issue Date

02/05/2018

Effective Date

02/05/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019