CHARLENE HLAS SIPE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287235

License Status

NOT RENEWED

Business

First Name

CHARLENE

Last Name

HLAS SIPE

Business Name

CHARLENE HLAS SIPE

Original Issue Date

08/12/1999

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/17/2008

Case Number

2005004716

Action

Suspension

Discipline Start Date

01/17/2008