SAMANTHA M FALLER - Pharmacist License in Illinois | # 049195796

SAMANTHA M FALLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195796

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

M

Last Name

FALLER

Prefix

MR

Business Name

SAMANTHA M FALLER

Original Issue Date

12/09/2009

Effective Date

12/09/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010