LESLIE E SAMP Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051020702

License Status

INACTIVE

Business

First Name

LESLIE E

Last Name

SAMP

Business Name

LESLIE E SAMP

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005