SAM SHI QUN GAO - Pharmacist License in Illinois | # 049175009

SAM SHI QUN GAO

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175009

License Status

INACTIVE

Business

N

First Name

SAM SHI

Middle

QUN

Last Name

GAO

Business Name

SAM SHI QUN GAO

Original Issue Date

03/21/2007

Effective Date

01/11/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2012