SAMANTHA CHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204749

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

CHAN

Prefix

Business Name

SAMANTHA CHAN

Original Issue Date

06/12/2011

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016