TARA N KISSELL - Pharmacist License in Illinois | # 049166905

TARA N KISSELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166905

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

N

Last Name

KISSELL

Business Name

TARA N KISSELL

Original Issue Date

03/21/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009