MICAH SAMPSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191403

License Status

NOT RENEWED

Business

First Name

MICAH

Last Name

SAMPSON

Business Name

MICAH SAMPSON

Original Issue Date

04/30/2009

Effective Date

04/30/2009

Expiration Date

03/31/2010

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010