GODSY MARIAM SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133968

License Status

NOT RENEWED

Business

First Name

GODSY

Middle

MARIAM

Last Name

SAMUEL

Business Name

GODSY MARIAM SAMUEL

Original Issue Date

12/11/2000

Effective Date

02/17/2009

Expiration Date

03/31/2010

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010