SAMANTHA M FALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195796

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

FALLER

Prefix

Business Name

SAMANTHA M FALLER

Original Issue Date

12/09/2009

Effective Date

12/09/2009

Expiration Date

03/31/2010

City

INGLESIDE

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010