SMITHA GRACE C SAMUEL MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117858

License Status

NOT RENEWED

Business

Title

First Name

SMITHA GRACE

Middle

Last Name

SAMUEL

Business Name

SMITHA GRACE C SAMUEL MD

Original Issue Date

06/17/1997

Effective Date

06/17/1997

Expiration Date

03/31/2001

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005