DAPHNE SAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096344

License Status

NOT RENEWED

Business

First Name

DAPHNE

Last Name

SAM

Business Name

DAPHNE SAM

Original Issue Date

04/02/1991

Effective Date

04/02/1991

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005