SAMANTHA J BRAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172882

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

BRAIN

Business Name

SAMANTHA J BRAIN

Original Issue Date

11/30/2006

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2013