ZACHARY MICHAEL SAMPLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174971

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

MICHAEL

Last Name

SAMPLES

Business Name

ZACHARY MICHAEL SAMPLES

Original Issue Date

03/20/2007

Effective Date

02/06/2012

Expiration Date

03/31/2013

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/06/2013