JAN M SAMONTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199067

License Status

NOT RENEWED

Business

First Name

JAN

Middle

Last Name

SAMONTE

Business Name

JAN M SAMONTE

Original Issue Date

06/23/2010

Effective Date

02/10/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012