SAMUEL STEPHEN SIWY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292061

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

STEPHEN

Last Name

SIWY

Business Name

SAMUEL STEPHEN SIWY

Original Issue Date

04/14/2022

Effective Date

04/07/2023

Expiration Date

03/31/2024

City

TRABUCO CANYON

State

Zip

92679

Ever Disciplined

LastModifiedDate

01/03/2025