SAMANTHA K WISNIEWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124130

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

WISNIEWSKI

Business Name

SAMANTHA K WISNIEWSKI

Original Issue Date

12/14/1998

Effective Date

12/14/1998

Expiration Date

03/31/2006

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/11/2006