ANTHONY JOHN KISONIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115679

License Status

NOT RENEWED

Business

First Name

ANTHONY JOHN

Last Name

KISONIS

Business Name

ANTHONY JOHN KISONIS

Original Issue Date

10/23/1996

Effective Date

02/26/2009

Expiration Date

03/31/2010

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010