SAMANTHA K VAN TILBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200177

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

VAN TILBURG

Business Name

SAMANTHA K VAN TILBURG

Original Issue Date

08/26/2010

Effective Date

03/09/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019