REBECCA ANNE SIEGEL MOUSSEAU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194570

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

ANNE SIEGEL

Last Name

MOUSSEAU

Business Name

REBECCA ANNE SIEGEL MOUSSEAU

Original Issue Date

09/30/2009

Effective Date

02/08/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017