SAMUEL ROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132561

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

ROSS

Business Name

SAMUEL ROSS

Original Issue Date

09/08/2000

Effective Date

09/08/2000

Expiration Date

03/31/2005

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005