SAM J BIAFORA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109201

License Status

NOT RENEWED

Business

First Name

SAM J

Last Name

BIAFORA

Business Name

SAM J BIAFORA

Original Issue Date

01/10/1995

Effective Date

01/10/1995

Expiration Date

03/31/1998

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005