STEPHANIE D KIESEWETTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179089

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

KIESEWETTER

Business Name

STEPHANIE D KIESEWETTER

Original Issue Date

09/07/2007

Effective Date

03/27/2012

Expiration Date

03/31/2013

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/06/2013