SAMUEL BAHENA - Pharmacist License in Illinois | # 049291958

SAMUEL BAHENA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291958

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Last Name

BAHENA

Business Name

SAMUEL BAHENA

Original Issue Date

04/08/2022

Effective Date

02/24/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025