SAMUEL PAUL RAIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168274

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

PAUL

Last Name

RAIA

Business Name

SAMUEL PAUL RAIA

Original Issue Date

04/28/2006

Effective Date

04/15/2013

Expiration Date

03/31/2014

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2014