BRENT H SIEBENTHAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037776

License Status

NOT RENEWED

Business

First Name

BRENT H

Last Name

SIEBENTHAL

Business Name

BRENT H SIEBENTHAL

Original Issue Date

04/11/1990

Effective Date

09/28/2020

Expiration Date

07/31/2022

City

MISHAWAKA

State

Zip

46545

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/14/2022

Case Number

1998014463

Action

Fine

Discipline Start Date

10/19/1998

Discipline Reason

Failing to complete required continuing education hours.