SAMANTHA D HOLMES - Pharmacist License in Illinois | # 049153723

SAMANTHA D HOLMES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153723

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

D

Last Name

HOLMES

Business Name

SAMANTHA D HOLMES

Original Issue Date

03/16/2004

Effective Date

03/16/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005