SAMANTHA J AGONIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171255

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

AGONIS

Business Name

SAMANTHA J AGONIS

Original Issue Date

09/13/2006

Effective Date

03/07/2014

Expiration Date

03/31/2015

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015