SAMANTHA J WELLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165620

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

WELLS

Business Name

SAMANTHA J WELLS

Original Issue Date

12/14/2005

Effective Date

12/21/2006

Expiration Date

03/31/2007

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/14/2007