SAMANTHA S GRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243629

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

GRAY

Business Name

SAMANTHA S GRAY

Original Issue Date

07/29/2016

Effective Date

12/12/2018

Expiration Date

03/31/2019

City

DECATUR

State

Zip

62521

Ever Disciplined

LastModifiedDate

11/07/2019