KAVIN EARL SAMPSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149363

License Status

NOT RENEWED

Business

First Name

KAVIN

Middle

EARL

Last Name

SAMPSON

Business Name

KAVIN EARL SAMPSON

Original Issue Date

06/30/2003

Effective Date

06/30/2003

Expiration Date

03/31/2006

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2006