STEVEN D KISH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114013

License Status

NOT RENEWED

Business

First Name

STEVEN D

Last Name

KISH

Business Name

STEVEN D KISH

Original Issue Date

04/16/1996

Effective Date

04/16/1996

Expiration Date

03/31/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005