SAMANTHA LYNN HERDEGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231982

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LYNN

Last Name

HERDEGEN

Business Name

SAMANTHA LYNN HERDEGEN

Original Issue Date

03/27/2015

Effective Date

02/04/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021