SAMANTHA S ENGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135644

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

ENGH

Business Name

SAMANTHA S ENGH

Original Issue Date

04/06/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007