JEFFREY SAM DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195988

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Last Name

SAM

Prefix

Business Name

JEFFREY SAM DO

Original Issue Date

12/23/2009

Effective Date

12/23/2009

Expiration Date

03/31/2010

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010