SAMANTHA L GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219343

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

GRAHAM

Prefix

Business Name

SAMANTHA L GRAHAM

Original Issue Date

07/16/2013

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019