SAM MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051018952

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

MOSS

Business Name

SAM MOSS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005