DARA SAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154579

License Status

NOT RENEWED

Business

First Name

DARA

Last Name

SAM

Business Name

DARA SAM

Original Issue Date

05/26/2004

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012