SAM DAVE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132873

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

DAVE

Business Name

SAM DAVE

Original Issue Date

09/27/2000

Effective Date

09/27/2000

Expiration Date

03/31/2003

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005