SAMANTHA PATRICE HAYWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183104

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

PATRICE

Last Name

HAYWOOD

Business Name

SAMANTHA PATRICE HAYWOOD

Original Issue Date

03/26/2008

Effective Date

03/26/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009