SAMANTHA GONG - Pharmacist License in Illinois | # 049283310

SAMANTHA GONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283310

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Last Name

GONG

Business Name

SAMANTHA GONG

Original Issue Date

06/16/2021

Effective Date

06/16/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022