AUDIEN JOHN Q SAMSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241717

License Status

NOT RENEWED

Business

First Name

AUDIEN JOHN

Middle

Last Name

SAMSON

Prefix

Business Name

AUDIEN JOHN Q SAMSON

Original Issue Date

05/06/2016

Effective Date

05/06/2016

Expiration Date

03/31/2017

City

HARWOOD HEIGHTS

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017