SAMANTHA A TOLLIVER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165943

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

TOLLIVER

Business Name

SAMANTHA A TOLLIVER

Original Issue Date

01/05/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CLAY CITY

State

Zip

62824

County

CLAY

Ever Disciplined

LastModifiedDate

01/10/2008