SAMUEL GAINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223474

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

GAINES

Prefix

Business Name

SAMUEL GAINES

Original Issue Date

02/19/2014

Effective Date

02/19/2014

Expiration Date

03/31/2015

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015