SEAN D CONRIN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153074

License Status

NOT RENEWED

Business

Title

First Name

SEAN

Middle

Last Name

CONRIN

Business Name

SEAN D CONRIN MD

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

03/31/2005

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005