LISA M SAMUELS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256077

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

SAMUELS

Business Name

LISA M SAMUELS

Original Issue Date

02/13/2018

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/15/2019