RUBEN SAMUEL JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030771

License Status

NOT RENEWED

Business

First Name

RUBEN

Last Name

SAMUEL JR

Business Name

RUBEN SAMUEL JR

Original Issue Date

12/22/1975

Effective Date

02/14/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021