SAMANTHA JO FORREST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254998

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

FORREST

Business Name

SAMANTHA JO FORREST

Original Issue Date

12/12/2017

Effective Date

03/09/2018

Expiration Date

03/31/2019

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

07/15/2019