SAM EVANGELISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051020000

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

EVANGELISTA

Business Name

SAM EVANGELISTA

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005