SAMANTHA ANNE BERTHOUD - Pharmacist License in Illinois | # 049213274

SAMANTHA ANNE BERTHOUD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213274

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

ANNE

Last Name

BERTHOUD

Business Name

SAMANTHA ANNE BERTHOUD

Original Issue Date

09/04/2012

Effective Date

02/26/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015