SAMANTHA ELLEN TERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263901

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ELLEN

Last Name

TERRY

Business Name

SAMANTHA ELLEN TERRY

Original Issue Date

04/03/2019

Effective Date

04/03/2019

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/08/2021