LAURA A SIADEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209503

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

SIADEK

Business Name

LAURA A SIADEK

Original Issue Date

03/02/2012

Effective Date

03/02/2012

Expiration Date

03/31/2013

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2013