CONNIE M SIVESIND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158384

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

SIVESIND

Business Name

CONNIE M SIVESIND

Original Issue Date

12/15/2004

Effective Date

12/15/2004

Expiration Date

03/31/2006

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/11/2006