SAMANTHA M SHULTIS - Pharmacist License in Illinois | # 049105254

SAMANTHA M SHULTIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105254

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005