SAMANTHA JO BUSKIRK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133607

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

BUSKIRK

Business Name

SAMANTHA JO BUSKIRK

Original Issue Date

11/13/2000

Effective Date

11/13/2000

Expiration Date

03/31/2002

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005