GARY RICHARD KLOCKOW Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032083

License Status

INACTIVE

Business

First Name

GARY RICHARD

Last Name

KLOCKOW

Business Name

GARY RICHARD KLOCKOW

Original Issue Date

04/24/1978

Effective Date

04/24/1978

Expiration Date

03/31/1994

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005