MICAH SIA BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220053

License Status

NOT RENEWED

Business

First Name

MICAH

Middle

SIA

Last Name

BROWN

Business Name

MICAH SIA BROWN

Original Issue Date

08/15/2013

Effective Date

02/11/2014

Expiration Date

03/31/2015

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015