AMY DAWN SAMKUTTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092141

License Status

NOT RENEWED

Business

First Name

AMY

Middle

DAWN

Last Name

SAMKUTTY

Business Name

AMY DAWN SAMKUTTY

Original Issue Date

01/30/1990

Effective Date

01/30/1990

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005