JUSTIN JAMES SIEDLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187360

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

JAMES

Last Name

SIEDLE

Business Name

JUSTIN JAMES SIEDLE

Original Issue Date

09/25/2008

Effective Date

04/06/2016

Expiration Date

03/31/2017

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

05/10/2017