SAMANTHA ARIEL POTTORF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214798

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ARIEL

Last Name

POTTORF

Business Name

SAMANTHA ARIEL POTTORF

Original Issue Date

11/29/2012

Effective Date

01/07/2013

Expiration Date

03/31/2014

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2014