MICHAEL EDWARD SKUPIEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167883

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

SKUPIEN

Business Name

MICHAEL EDWARD SKUPIEN

Original Issue Date

04/17/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009