SAMANTHA M DZIURGOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243450

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

DZIURGOT

Prefix

Business Name

SAMANTHA M DZIURGOT

Original Issue Date

07/21/2016

Effective Date

07/21/2016

Expiration Date

03/31/2017

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2019