SAMANTHA A SHELTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213084

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SHELTON

Prefix

Business Name

SAMANTHA A SHELTON

Original Issue Date

08/26/2012

Effective Date

08/26/2012

Expiration Date

03/31/2013

City

LEAF RIVER

State

Zip

61047

County

OGLE

Ever Disciplined

LastModifiedDate

05/06/2013