SAMANTHA CHRISTINE BOVIALL - Pharmacist License in Illinois | # 049194616

SAMANTHA CHRISTINE BOVIALL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194616

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

CHRISTINE

Last Name

BOVIALL

Business Name

SAMANTHA CHRISTINE BOVIALL

Original Issue Date

10/02/2009

Effective Date

10/02/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010