NISHA ANNE SIEDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268134

License Status

NOT RENEWED

Business

First Name

NISHA

Middle

ANNE

Last Name

SIEDE

Business Name

NISHA ANNE SIEDE

Original Issue Date

10/01/2019

Effective Date

10/01/2019

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

Ever Disciplined

LastModifiedDate

01/08/2021