SAMANTHA S MAXWELL - Pharmacist License in Illinois | # 049151780

SAMANTHA S MAXWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151780

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

S

Last Name

MAXWELL

Business Name

SAMANTHA S MAXWELL

Original Issue Date

10/21/2003

Effective Date

10/21/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005