MARILYN ANNE SIWAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079962

License Status

NOT RENEWED

Business

First Name

MARILYN ANNE

Last Name

SIWAK

Business Name

MARILYN ANNE SIWAK

Original Issue Date

07/05/1984

Effective Date

07/05/1984

Expiration Date

03/31/1986

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005