SAMSON AGBAYEWA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266783

License Status

NOT RENEWED

Business

First Name

SAMSON

Last Name

AGBAYEWA

Business Name

SAMSON AGBAYEWA

Original Issue Date

07/22/2019

Effective Date

03/04/2020

Expiration Date

03/31/2021

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

07/20/2021