SAMANTHA LYNN GRASSNICKLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201279

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LYNN

Last Name

GRASSNICKLE

Business Name

SAMANTHA LYNN GRASSNICKLE

Original Issue Date

10/27/2010

Effective Date

03/31/2011

Expiration Date

03/31/2012

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/07/2012