MATHEW SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151608

License Status

NOT RENEWED

Business

First Name

MATHEW

Last Name

SAMUEL

Business Name

MATHEW SAMUEL

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

03/31/2005

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005