THEODORE J KLOTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128995

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

KLOTZ

Business Name

THEODORE J KLOTZ

Original Issue Date

01/21/2000

Effective Date

01/21/2000

Expiration Date

03/31/2001

City

SHARON

State

Zip

53585

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005