TREVOR L SAMPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101123

License Status

NOT RENEWED

Business

First Name

TREVOR L

Last Name

SAMPLE

Business Name

TREVOR L SAMPLE

Original Issue Date

08/27/1992

Effective Date

08/27/1992

Expiration Date

03/31/1995

City

EDINBURG

State

Zip

62531

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005