SAMIAT O OMOTUNWASHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221291

License Status

NOT RENEWED

Business

First Name

SAMIAT

Middle

Last Name

OMOTUNWASHE

Prefix

Business Name

SAMIAT O OMOTUNWASHE

Original Issue Date

10/07/2013

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60613

Ever Disciplined

LastModifiedDate

05/20/2016