SAMANTHA D GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185662

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

GREEN

Business Name

SAMANTHA D GREEN

Original Issue Date

07/22/2008

Effective Date

03/17/2009

Expiration Date

03/31/2010

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/04/2010