BRENT S KISTNER - Pharmacist License in Illinois | # 049221026

BRENT S KISTNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221026

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

S

Last Name

KISTNER

Business Name

BRENT S KISTNER

Original Issue Date

09/24/2013

Effective Date

02/06/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015