GLENN PAUL SIEVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081434

License Status

NOT RENEWED

Business

First Name

GLENN PAUL

Last Name

SIEVERSON

Business Name

GLENN PAUL SIEVERSON

Original Issue Date

07/30/1985

Effective Date

07/30/1985

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005