SAMANTHA JEAN BALOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220128

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

JEAN

Last Name

BALOW

Prefix

Business Name

SAMANTHA JEAN BALOW

Original Issue Date

08/19/2013

Effective Date

02/05/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021