SAMANTHA K BERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173907

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

BERRY

Business Name

SAMANTHA K BERRY

Original Issue Date

01/25/2007

Effective Date

02/17/2011

Expiration Date

03/31/2012

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012