SAMANTHA Q TRAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260440

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

TRAN

Business Name

SAMANTHA Q TRAN

Original Issue Date

10/09/2018

Effective Date

10/09/2018

Expiration Date

03/31/2019

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

07/15/2019