SAM PANICKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213230

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

PANICKER

Business Name

SAM PANICKER

Original Issue Date

09/01/2012

Effective Date

03/05/2018

Expiration Date

03/31/2019

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/15/2019