DAVID A SIEMBAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097086

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

SIEMBAL

Business Name

DAVID A SIEMBAL

Original Issue Date

06/10/1991

Effective Date

06/10/1991

Expiration Date

03/31/1992

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005