SAMANTHA R POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213020

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

POWELL

Prefix

Business Name

SAMANTHA R POWELL

Original Issue Date

08/23/2012

Effective Date

08/23/2012

Expiration Date

03/31/2013

City

GILMAN

State

Zip

60938

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/06/2013