SAMUEL DEAN GAINES - Pharmacist License in Illinois | # 049124514

SAMUEL DEAN GAINES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124514

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

DEAN

Last Name

GAINES

Business Name

SAMUEL DEAN GAINES

Original Issue Date

01/22/1999

Effective Date

01/22/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005