SAMANTHA SALAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149061

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

SALAS

Business Name

SAMANTHA SALAS

Original Issue Date

06/23/2003

Effective Date

02/19/2010

Expiration Date

03/31/2011

City

SCHERERVILLE

State

Zip

46375

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011