SAMANTHA ANN SIUZDAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133843

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ANN

Last Name

SIUZDAK

Business Name

SAMANTHA ANN SIUZDAK

Original Issue Date

12/04/2000

Effective Date

12/04/2000

Expiration Date

03/31/2003

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005