SAMANTHA LEE WHITROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202196

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LEE

Last Name

WHITROCK

Business Name

SAMANTHA LEE WHITROCK

Original Issue Date

01/06/2011

Effective Date

01/06/2011

Expiration Date

03/31/2012

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/07/2012