IRIS PREMALATHA SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118231

License Status

NOT RENEWED

Business

First Name

IRIS

Middle

PREMALATHA

Last Name

SAMUEL

Business Name

IRIS PREMALATHA SAMUEL

Original Issue Date

07/23/1997

Effective Date

07/23/1997

Expiration Date

03/31/2001

City

LINCOLNWOOD

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005