Benjamin Kivisto
ExpiredIllinois license 049241484
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049241484
- Status
- Expired (Not Renewed)
- First issued
- April 27, 2016
- Expired
- March 31, 2017
- License holder
- Benjamin Kivisto
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/27/2016
Contact
Rockford, IL 61107
Winnebago County