CONNIE A SAMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082524

License Status

NOT RENEWED

Business

First Name

CONNIE A

Last Name

SAMS

Business Name

CONNIE A SAMS

Original Issue Date

04/28/1986

Effective Date

04/28/1986

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005