REBECCA LISTIAWAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049318382

License Status

ACTIVE

Business

First Name

REBECCA

Last Name

LISTIAWAN

Business Name

REBECCA LISTIAWAN

Original Issue Date

02/06/2025

Effective Date

02/06/2025

Expiration Date

03/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

01/30/2026