SAMANTHA GAIL BRUCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160921

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

GAIL

Last Name

BRUCE

Business Name

SAMANTHA GAIL BRUCE

Original Issue Date

05/10/2005

Effective Date

02/22/2020

Expiration Date

03/31/2021

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

07/20/2021