ANGELIA D SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162713

License Status

NOT RENEWED

Business

First Name

ANGELIA

Middle

Last Name

SAMUEL

Business Name

ANGELIA D SAMUEL

Original Issue Date

08/03/2005

Effective Date

04/25/2011

Expiration Date

03/31/2012

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/07/2012