MARK SIEDENTOPF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276350

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

SIEDENTOPF

Business Name

MARK SIEDENTOPF

Original Issue Date

10/05/2020

Effective Date

10/05/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021