SAMUEL ETHAN WADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267747

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

ETHAN

Last Name

WADE

Business Name

SAMUEL ETHAN WADE

Original Issue Date

09/06/2019

Effective Date

03/16/2020

Expiration Date

03/31/2021

City

PAXTON

State

Zip

60957

County

FORD

Ever Disciplined

LastModifiedDate

07/20/2021