SUSAN E KLAIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104984

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

KLAIS

Business Name

SUSAN E KLAIS

Original Issue Date

10/21/1993

Effective Date

03/17/2014

Expiration Date

03/31/2015

City

WINTER

State

Zip

54896

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/06/2015