SAMANTHA M SHULTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105254

License Status

NOT RENEWED

Business

First Name

SAMANTHA M

Last Name

SHULTIS

Business Name

SAMANTHA M SHULTIS

Original Issue Date

11/17/1993

Effective Date

11/17/1993

Expiration Date

03/31/1994

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005