PATRICK LEONARD KISTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264464

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

LEONARD

Last Name

KISTNER

Business Name

PATRICK LEONARD KISTNER

Original Issue Date

04/12/2019

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021