RICHARD T KISSELL DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235201

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

Last Name

KISSELL

Business Name

RICHARD T KISSELL DO

Original Issue Date

08/03/2015

Effective Date

03/08/2017

Expiration Date

03/31/2018

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/19/2018