SAMANTHA SU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278271

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

Business Name

SAMANTHA SU

Original Issue Date

12/29/2020

Effective Date

01/25/2021

Expiration Date

05/31/2022

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022