ELIZABETH SAMPLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149975

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

SAMPLES

Business Name

ELIZABETH SAMPLES

Original Issue Date

08/19/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007