DANI IRENE KLONTZ-BAREIKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136175

License Status

NOT RENEWED

Business

First Name

DANI

Middle

IRENE

Last Name

KLONTZ-BAREIKA

Business Name

DANI IRENE KLONTZ-BAREIKA

Original Issue Date

05/03/2001

Effective Date

05/03/2001

Expiration Date

03/31/2002

City

PADDOCK LAKE

State

Zip

53168

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/06/2005