KENNETH BLAIR KLOS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026909

License Status

INACTIVE

Business

First Name

KENNETH BLAIR

Last Name

KLOS

Business Name

KENNETH BLAIR KLOS

Original Issue Date

01/01/1997

Effective Date

02/01/2012

Expiration Date

03/31/2014

City

WONDER LAKE

State

Zip

60097

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/09/2014