SAMANTHA LILA MASUD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157167

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LILA

Last Name

MASUD

Business Name

SAMANTHA LILA MASUD

Original Issue Date

09/09/2004

Effective Date

09/09/2004

Expiration Date

03/31/2005

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005