SAMUEL LEE DONAVON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276440

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

LEE

Last Name

DONAVON

Business Name

SAMUEL LEE DONAVON

Original Issue Date

10/07/2020

Effective Date

03/19/2021

Expiration Date

05/31/2022

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022