HEATHER A SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134184

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

SAMUEL

Business Name

HEATHER A SAMUEL

Original Issue Date

12/21/2000

Effective Date

12/21/2000

Expiration Date

03/31/2004

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005