SAMUEL L DIRAIMONDO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023851

License Status

INACTIVE

Business

First Name

SAMUEL L

Last Name

DIRAIMONDO

Business Name

SAMUEL L DIRAIMONDO

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005