SAMANTHA L POMRENKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165209

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

POMRENKE

Business Name

SAMANTHA L POMRENKE

Original Issue Date

11/28/2005

Effective Date

11/28/2005

Expiration Date

03/31/2006

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006