SAMYDRA R LAKES - Pharmacist License in Illinois | # 049107948

SAMYDRA R LAKES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107948

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017