BENOY KUMAR SAMANTA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153095

License Status

INACTIVE

Business

First Name

BENOY

Middle

KUMAR

Last Name

SAMANTA

Business Name

BENOY KUMAR SAMANTA

Original Issue Date

01/30/2004

Effective Date

05/01/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010