SAMANTHA JO STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236793

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

STEPHENS

Business Name

SAMANTHA JO STEPHENS

Original Issue Date

10/05/2015

Effective Date

02/27/2019

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2021