SAMANTHA ANN MIXER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259766

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ANN

Last Name

MIXER

Business Name

SAMANTHA ANN MIXER

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/15/2019