SAMUEL CAMPBELL IV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150033

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

CAMPBELL

Suffix

Business Name

SAMUEL CAMPBELL IV

Original Issue Date

08/20/2003

Effective Date

08/20/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005