SAMANTHA A POWERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196196

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

POWERS

Prefix

Business Name

SAMANTHA A POWERS

Original Issue Date

01/13/2010

Effective Date

01/26/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012