RANDALL C SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138635

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

Last Name

SAMUEL

Business Name

RANDALL C SAMUEL

Original Issue Date

10/10/2001

Effective Date

10/10/2001

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005