SAMANTHA PHOENIX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219274

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

PHOENIX

Business Name

SAMANTHA PHOENIX

Original Issue Date

07/11/2013

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016