THOMAS P KISTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127717

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

KISTNER

Business Name

THOMAS P KISTNER

Original Issue Date

09/28/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007