BENJAMIN KIVISTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241484

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Last Name

KIVISTO

Prefix

Business Name

BENJAMIN KIVISTO

Original Issue Date

04/27/2016

Effective Date

04/27/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017