SAMUEL M DOUGLAS - Pharmacist License in Illinois | # 049060365

SAMUEL M DOUGLAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060365

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005