SAMANTHA M CICOGNA - Pharmacist License in Illinois | # 049207660

SAMANTHA M CICOGNA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207660

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

M

Last Name

CICOGNA

Prefix

MR

Business Name

SAMANTHA M CICOGNA

Original Issue Date

11/07/2011

Effective Date

11/07/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012