SAMANTHA J COCKRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231787

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

COCKRUM

Business Name

SAMANTHA J COCKRUM

Original Issue Date

03/18/2015

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/20/2021