MICHAEL S SIDWELL - Pharmacist License in Illinois | # 049140929

MICHAEL S SIDWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140929

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

S

Last Name

SIDWELL

Business Name

MICHAEL S SIDWELL

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005