SAMUEL C SLACK - Pharmacist License in Utah | # 049237684

SAMUEL C SLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237684

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

C

Last Name

SLACK

Business Name

SAMUEL C SLACK

Original Issue Date

11/16/2015

Effective Date

03/03/2016

Expiration Date

03/31/2017

State

UT

Ever Disciplined

N

LastModifiedDate

05/10/2017