DONETTE LOUISE SAMUELS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054809

License Status

NOT RENEWED

Business

First Name

DONETTE LOUISE

Last Name

SAMUELS

Business Name

DONETTE LOUISE SAMUELS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005