SAMUEL JOHN BAKKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211060

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

JOHN

Last Name

BAKKER

Business Name

SAMUEL JOHN BAKKER

Original Issue Date

05/15/2012

Effective Date

01/28/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014