SAMANTHA RENEE GALLOWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263086

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

RENEE

Last Name

GALLOWAY

Business Name

SAMANTHA RENEE GALLOWAY

Original Issue Date

02/06/2019

Effective Date

02/06/2019

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/08/2021