LAURA A CIEPLIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159138

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

CIEPLIK

Business Name

LAURA A CIEPLIK

Original Issue Date

02/08/2005

Effective Date

02/08/2005

Expiration Date

03/31/2006

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/11/2006