SAMUEL D WILLENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129108

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

WILLENS

Business Name

SAMUEL D WILLENS

Original Issue Date

02/01/2000

Effective Date

02/01/2000

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005