SALLY MERIAM SAMARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147071

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

MERIAM

Last Name

SAMARA

Business Name

SALLY MERIAM SAMARA

Original Issue Date

02/18/2003

Effective Date

02/18/2003

Expiration Date

03/31/2004

City

BURR RIDGE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005