SAMUEL M RADOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153990

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

RADOM

Business Name

SAMUEL M RADOM

Original Issue Date

04/07/2004

Effective Date

04/07/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005