BRENT S KISTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221026

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

KISTNER

Business Name

BRENT S KISTNER

Original Issue Date

09/24/2013

Effective Date

02/06/2014

Expiration Date

03/31/2015

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2015