MATTHEW OWEN SIUTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164896

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

OWEN

Last Name

SIUTA

Business Name

MATTHEW OWEN SIUTA

Original Issue Date

11/10/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008