MARK EDWARD KIENLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261457

License Status

NOT RENEWED

Business

First Name

MARK

Middle

EDWARD

Last Name

KIENLEN

Business Name

MARK EDWARD KIENLEN

Original Issue Date

11/27/2018

Effective Date

03/09/2020

Expiration Date

03/31/2021

City

SAINT LOUIS

State

Zip

63119

Ever Disciplined

LastModifiedDate

07/20/2021