SAMANTHA D RENNACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169737

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

RENNACK

Business Name

SAMANTHA D RENNACK

Original Issue Date

06/30/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008