SAMANTHA ELIZABETH BERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137152

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ELIZABETH

Last Name

BERRY

Business Name

SAMANTHA ELIZABETH BERRY

Original Issue Date

07/06/2001

Effective Date

12/07/2010

Expiration Date

03/31/2011

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011