SAMANTHA A KEITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224881

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

KEITH

Prefix

Business Name

SAMANTHA A KEITH

Original Issue Date

04/28/2014

Effective Date

02/06/2015

Expiration Date

03/31/2016

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

05/20/2016