SAM SHI QUN GAO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175009

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

01/12/2012