SUSAN SAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174335

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

SAM

Business Name

SUSAN SAM

Original Issue Date

02/16/2007

Effective Date

02/29/2016

Expiration Date

03/31/2017

City

PLAINFIELD

State

Zip

60585

County

KENDALL

Ever Disciplined

LastModifiedDate

05/10/2017