CURTIS D SIEX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097940

License Status

NOT RENEWED

Business

First Name

CURTIS D

Last Name

SIEX

Business Name

CURTIS D SIEX

Original Issue Date

09/05/1991

Effective Date

09/05/1991

Expiration Date

03/31/1995

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005