ANNAMMA SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122100

License Status

NOT RENEWED

Business

First Name

ANNAMMA

Last Name

SAMUEL

Business Name

ANNAMMA SAMUEL

Original Issue Date

07/28/1998

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016