MICHAEL EDWARD SKUPIEN - Pharmacist License in Illinois | # 049167883

MICHAEL EDWARD SKUPIEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167883

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009