SAMANTHA LYNN GRASSNICKLE - Pharmacist License in Illinois | # 049201279

SAMANTHA LYNN GRASSNICKLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201279

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012