SAMUEL BAHENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118249

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

BAHENA

Business Name

SAMUEL BAHENA

Original Issue Date

07/24/1997

Effective Date

07/24/1997

Expiration Date

03/31/2004

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

10/20/2005