SAMANTHA M MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166082

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

MEDINA

Business Name

SAMANTHA M MEDINA

Original Issue Date

01/13/2006

Effective Date

01/13/2006

Expiration Date

03/31/2007

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007