SIBYCHEN THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155165

License Status

NOT RENEWED

Business

First Name

SIBYCHEN

Last Name

THOMAS

Business Name

SIBYCHEN THOMAS

Original Issue Date

06/15/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

NORTH LAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007