CHARLENE A SIWULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090902

License Status

NOT RENEWED

Business

First Name

CHARLENE A

Last Name

SIWULA

Business Name

CHARLENE A SIWULA

Original Issue Date

08/15/1989

Effective Date

08/15/1989

Expiration Date

03/31/1990

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005