SAMANTHA LYNN SANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188979

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LYNN

Last Name

SANFORD

Business Name

SAMANTHA LYNN SANFORD

Original Issue Date

12/31/2008

Effective Date

12/31/2008

Expiration Date

03/31/2009

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

05/06/2009