SAMANTHA JO MONTGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261355

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

MONTGOMERY

Business Name

SAMANTHA JO MONTGOMERY

Original Issue Date

11/26/2018

Effective Date

11/26/2018

Expiration Date

03/31/2019

City

CANTRALL

State

Zip

62625

Ever Disciplined

LastModifiedDate

07/15/2019