SAMANTHA JO RUDLOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153057

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

RUDLOFF

Business Name

SAMANTHA JO RUDLOFF

Original Issue Date

01/29/2004

Effective Date

02/06/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013