SAMANTHA ANN BALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225176

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ANN

Last Name

BALES

Business Name

SAMANTHA ANN BALES

Original Issue Date

05/15/2014

Effective Date

05/15/2014

Expiration Date

03/31/2015

City

URBANA

State

Zip

61803

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015