SAMIRA SHANTEL DUPART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213815

License Status

NOT RENEWED

Business

First Name

SAMIRA

Middle

SHANTEL

Last Name

DUPART

Business Name

SAMIRA SHANTEL DUPART

Original Issue Date

10/01/2012

Effective Date

03/30/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017