SAMANTHA PAULINE PULLIAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276036

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

PAULINE

Last Name

PULLIAM

Business Name

SAMANTHA PAULINE PULLIAM

Original Issue Date

09/22/2020

Effective Date

09/22/2020

Expiration Date

03/31/2021

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

07/20/2021