TARA N KISSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166905

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

KISSELL

Business Name

TARA N KISSELL

Original Issue Date

03/21/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009