JOHNATHAN A KIWALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182653

License Status

NOT RENEWED

Business

First Name

JOHNATHAN

Middle

Last Name

KIWALA

Business Name

JOHNATHAN A KIWALA

Original Issue Date

03/07/2008

Effective Date

03/07/2008

Expiration Date

03/31/2009

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2009