SAMUEL S MIDANEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104479

License Status

NOT RENEWED

Business

First Name

SAMUEL S

Last Name

MIDANEK

Business Name

SAMUEL S MIDANEK

Original Issue Date

09/14/1993

Effective Date

09/14/1993

Expiration Date

03/31/1996

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005