SAMANTHA MARIE ANSELMENT - Pharmacist License in Illinois | # 049137425

SAMANTHA MARIE ANSELMENT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137425

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

MARIE

Last Name

ANSELMENT

Business Name

SAMANTHA MARIE ANSELMENT

Original Issue Date

07/27/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007