SAMUEL M DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060365

License Status

NOT RENEWED

Business

First Name

SAMUEL M

Last Name

DOUGLAS

Business Name

SAMUEL M DOUGLAS

Original Issue Date

10/05/1973

Effective Date

10/05/1973

Expiration Date

01/01/1997

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005