SAMUEL D WILLENS - Pharmacist License in Illinois | # 049129108

SAMUEL D WILLENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129108

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

D

Last Name

WILLENS

Business Name

SAMUEL D WILLENS

Original Issue Date

02/01/2000

Effective Date

02/01/2000

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005