KACIE J SIEG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170869

License Status

NOT RENEWED

Business

First Name

KACIE

Middle

Last Name

SIEG

Business Name

KACIE J SIEG

Original Issue Date

08/25/2006

Effective Date

08/25/2006

Expiration Date

03/31/2007

City

EAST PEORIA

State

Zip

61611

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/14/2007