SAMANTHA JEAN CZAPLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278270

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

JEAN

Last Name

CZAPLA

Business Name

SAMANTHA JEAN CZAPLA

Original Issue Date

12/29/2020

Effective Date

04/19/2022

Expiration Date

03/31/2023

City

PAYSON

State

Zip

62360

County

ADAMS

Ever Disciplined

LastModifiedDate

09/07/2023