MICHAEL S SIDWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140929

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

SIDWELL

Business Name

MICHAEL S SIDWELL

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2003

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005