KENI SAMANTHA SHERRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154041

License Status

NOT RENEWED

Business

First Name

KENI

Middle

SAMANTHA

Last Name

SHERRELL

Business Name

KENI SAMANTHA SHERRELL

Original Issue Date

04/08/2004

Effective Date

04/08/2004

Expiration Date

03/31/2005

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005