BRENDA DARLENE SAMDAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070386

License Status

NOT RENEWED

Business

First Name

BRENDA DARLENE

Last Name

SAMDAHL

Business Name

BRENDA DARLENE SAMDAHL

Original Issue Date

11/17/1978

Effective Date

11/17/1978

Expiration Date

01/01/1997

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005