SAMANTHA ANNE BAACKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176998

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ANNE

Last Name

BAACKE

Business Name

SAMANTHA ANNE BAACKE

Original Issue Date

06/13/2007

Effective Date

06/13/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008