SIDNEY J BRUNKOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241844

License Status

NOT RENEWED

Business

First Name

SIDNEY

Middle

Last Name

BRUNKOW

Business Name

SIDNEY J BRUNKOW

Original Issue Date

05/13/2016

Effective Date

05/13/2016

Expiration Date

03/31/2017

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017