SAMANTHA F KUBICHEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227574

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

KUBICHEK

Prefix

Business Name

SAMANTHA F KUBICHEK

Original Issue Date

09/03/2014

Effective Date

03/10/2021

Expiration Date

05/31/2022

City

BELLEVUE

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022