AGATA SIWAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184709

License Status

NOT RENEWED

Business

First Name

AGATA

Last Name

SIWAK

Business Name

AGATA SIWAK

Original Issue Date

06/04/2008

Effective Date

01/14/2014

Expiration Date

03/31/2015

City

MADISON

State

Zip

53718

Ever Disciplined

LastModifiedDate

05/11/2015