SAMANTHA L NIELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177199

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

NIELSEN

Business Name

SAMANTHA L NIELSEN

Original Issue Date

06/18/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MELROSE PARK

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009