SAMANTHA J FARRARE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162712

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

FARRARE

Business Name

SAMANTHA J FARRARE

Original Issue Date

08/03/2005

Effective Date

01/19/2012

Expiration Date

03/31/2013

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/06/2013