ETHAN M KLEIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051294502

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

KLEIN

Business Name

ETHAN M KLEIN

Original Issue Date

08/19/2010

Effective Date

06/30/2022

Expiration Date

03/31/2024

City

LOUISVILLE

State

Zip

40205

Ever Disciplined

LastModifiedDate

02/05/2025