SAMYDRA R LAKES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107948

License Status

NOT RENEWED

Business

First Name

SAMYDRA R

Last Name

LAKES

Business Name

SAMYDRA R LAKES

Original Issue Date

08/29/1994

Effective Date

08/24/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017