SHELLEY ANN KLOCHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191026

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

ANN

Last Name

KLOCHAN

Business Name

SHELLEY ANN KLOCHAN

Original Issue Date

04/14/2009

Effective Date

02/19/2010

Expiration Date

03/31/2011

City

WHITING

State

Zip

46394

County

INDIANA

Ever Disciplined

LastModifiedDate

05/12/2011