THOMAS PAUL SKUPIEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128734

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

PAUL

Last Name

SKUPIEN

Business Name

THOMAS PAUL SKUPIEN

Original Issue Date

12/27/1999

Effective Date

12/27/1999

Expiration Date

03/31/2006

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006