SAMANTHA R GIBSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182719

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

GIBSON

Business Name

SAMANTHA R GIBSON

Original Issue Date

03/10/2008

Effective Date

03/10/2008

Expiration Date

03/31/2009

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/06/2009