Pharmacist
PHARMACY TECHNICIAN
049120350
NOT RENEWED
N
ERIC
LEE
SAMUELS
ERIC LEE SAMUELS
03/25/1998
03/25/1998
03/31/2000
KANKAKEE
IL
60901
KANKAKEE
Y
10/17/2005
2000001195
Refuse To Renew
09/17/2001
Being more than 30 days delinquent in the payment of child support.