MARTA H SCIUBISZ MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157446

License Status

NOT RENEWED

Business

Title

First Name

MARTA

Middle

Last Name

SCIUBISZ

Business Name

MARTA H SCIUBISZ MD

Original Issue Date

10/13/2004

Effective Date

10/13/2004

Expiration Date

03/31/2005

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005