SAMANTHA MARIE ANSELMENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137425

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

ANSELMENT

Business Name

SAMANTHA MARIE ANSELMENT

Original Issue Date

07/27/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WAYNE CITY

State

Zip

62895

County

WAYNE

Ever Disciplined

LastModifiedDate

05/14/2007