AARON JOHN KIVISTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140616

License Status

NOT RENEWED

Business

First Name

AARON

Middle

JOHN

Last Name

KIVISTO

Business Name

AARON JOHN KIVISTO

Original Issue Date

02/15/2002

Effective Date

02/15/2002

Expiration Date

03/31/2005

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005