SAMANTHA MICHELLE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165215

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MICHELLE

Last Name

SMITH

Business Name

SAMANTHA MICHELLE SMITH

Original Issue Date

11/28/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/14/2007