MARY ELLEN SAMPSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135636

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELLEN

Last Name

SAMPSON

Business Name

MARY ELLEN SAMPSON

Original Issue Date

04/06/2001

Effective Date

06/15/2017

Expiration Date

03/31/2018

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

06/19/2018