SPENCER KIESEWETTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255223

License Status

NOT RENEWED

Business

First Name

SPENCER

Last Name

KIESEWETTER

Business Name

SPENCER KIESEWETTER

Original Issue Date

12/28/2017

Effective Date

12/28/2017

Expiration Date

03/31/2018

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

06/19/2018