SAMANTHA S MAXWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151780

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

MAXWELL

Business Name

SAMANTHA S MAXWELL

Original Issue Date

10/21/2003

Effective Date

10/21/2003

Expiration Date

03/31/2005

City

THOMASBORO

State

Zip

61878

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005