SAM B AN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183967

License Status

NOT RENEWED

Business

First Name

SAM

Middle

Last Name

Business Name

SAM B AN

Original Issue Date

04/30/2008

Effective Date

03/01/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

05/06/2014