STEPHEN D SIEGEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161200

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

SIEGEL

Business Name

STEPHEN D SIEGEL

Original Issue Date

05/20/2005

Effective Date

05/20/2005

Expiration Date

03/31/2006

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006