SAMANTHA J HACKNEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213842

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

HACKNEY

Prefix

Business Name

SAMANTHA J HACKNEY

Original Issue Date

10/02/2012

Effective Date

03/08/2013

Expiration Date

03/31/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/06/2014