MICHELLE LYNN SIEGFRIED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125376

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

LYNN

Last Name

SIEGFRIED

Business Name

MICHELLE LYNN SIEGFRIED

Original Issue Date

04/09/1999

Effective Date

04/09/1999

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005