SAMANTHA DAWN WELLMAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167212

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

DAWN

Last Name

WELLMAKER

Business Name

SAMANTHA DAWN WELLMAKER

Original Issue Date

04/04/2006

Effective Date

04/04/2006

Expiration Date

03/31/2007

City

BERKELEY

State

Zip

60163

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007