SAMUEL M IM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184642

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

Business Name

SAMUEL M IM

Original Issue Date

06/03/2008

Effective Date

06/03/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

05/06/2009