SAMANTHA S SHUMPERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197538

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SHUMPERT

Prefix

Business Name

SAMANTHA S SHUMPERT

Original Issue Date

03/29/2010

Effective Date

03/29/2010

Expiration Date

03/31/2011

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011