SAMANTHA RENEE KATHARINE PUCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280530

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

RENEE KATHARINE

Last Name

PUCKETT

Business Name

SAMANTHA RENEE KATHARINE PUCKETT

Original Issue Date

03/22/2021

Effective Date

03/22/2021

Expiration Date

05/31/2022

City

BRADFORD

State

Zip

61421

County

STARK

Ever Disciplined

LastModifiedDate

07/27/2022