SAMANTHA JANE FAGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280602

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

JANE

Last Name

FAGAN

Business Name

SAMANTHA JANE FAGAN

Original Issue Date

03/23/2021

Effective Date

03/23/2021

Expiration Date

05/31/2022

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022