ROBIN F SAMUELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103047

License Status

NOT RENEWED

Business

First Name

ROBIN F

Last Name

SAMUELSON

Business Name

ROBIN F SAMUELSON

Original Issue Date

04/07/1993

Effective Date

01/18/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013