ELLEN C SIEDEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204639

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

SIEDEL

Prefix

Business Name

ELLEN C SIEDEL

Original Issue Date

06/06/2011

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/05/2015