LANNY L SIEMERS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028560

License Status

INACTIVE

Business

First Name

LANNY L

Last Name

SIEMERS

Business Name

LANNY L SIEMERS

Original Issue Date

01/01/1997

Effective Date

03/25/2016

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2018