SAMANTHA RENEE VANISAVATH - Pharmacist License in Virginia | # 049191484

SAMANTHA RENEE VANISAVATH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191484

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

RENEE

Last Name

VANISAVATH

Business Name

SAMANTHA RENEE VANISAVATH

Original Issue Date

05/05/2009

Effective Date

03/22/2010

Expiration Date

03/31/2011

State

VA

Ever Disciplined

N

LastModifiedDate

05/12/2011