TINA EHIS SAMUEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168456

License Status

NOT RENEWED

Business

First Name

TINA

Middle

EHIS

Last Name

SAMUEL

Business Name

TINA EHIS SAMUEL

Original Issue Date

05/08/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008