SAMPSON J HAVELKA - Pharmacist License in Illinois | # 049245659

SAMPSON J HAVELKA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245659

License Status

NOT RENEWED

Business

N

First Name

SAMPSON

Middle

J

Last Name

HAVELKA

Prefix

MR

Business Name

SAMPSON J HAVELKA

Original Issue Date

10/23/2016

Effective Date

10/23/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017