SAMUEL ETIENNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148973

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

ETIENNE

Business Name

SAMUEL ETIENNE

Original Issue Date

06/18/2003

Effective Date

06/18/2003

Expiration Date

03/31/2004

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005