SAMPSON J HAVELKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245659

License Status

NOT RENEWED

Business

First Name

SAMPSON

Middle

Last Name

HAVELKA

Prefix

Business Name

SAMPSON J HAVELKA

Original Issue Date

10/23/2016

Effective Date

10/23/2016

Expiration Date

03/31/2017

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017