SAMANTHA RENEE GONZALEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278515

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

RENEE

Last Name

GONZALEZ

Business Name

SAMANTHA RENEE GONZALEZ

Original Issue Date

01/08/2021

Effective Date

01/08/2021

Expiration Date

05/31/2022

City

MANLIUS

State

Zip

61338

County

BUREAU

Ever Disciplined

LastModifiedDate

07/27/2022