ANGIE R KISSEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139680

License Status

NOT RENEWED

Business

First Name

ANGIE

Middle

Last Name

KISSEL

Business Name

ANGIE R KISSEL

Original Issue Date

12/24/2001

Effective Date

12/24/2001

Expiration Date

03/31/2006

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006