SAMUEL MILES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154919

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

MILES

Business Name

SAMUEL MILES

Original Issue Date

06/10/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007