ANDREA A MOONSAMMY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119269

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

MOONSAMMY

Business Name

ANDREA A MOONSAMMY

Original Issue Date

11/03/1997

Effective Date

11/03/1997

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005