SAMANTHA JO SMOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185950

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SMOCK

Business Name

SAMANTHA JO SMOCK

Original Issue Date

08/05/2008

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011