SAMANTHA J BRONGIEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231337

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

BRONGIEL

Business Name

SAMANTHA J BRONGIEL

Original Issue Date

02/24/2015

Effective Date

02/06/2017

Expiration Date

03/31/2018

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018