WADE A SIEFERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080553

License Status

NOT RENEWED

Business

First Name

WADE A

Last Name

SIEFERT

Business Name

WADE A SIEFERT

Original Issue Date

12/19/1984

Effective Date

12/19/1984

Expiration Date

03/31/1988

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005