SAMANTHA JO EELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280729

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

EELY

Business Name

SAMANTHA JO EELY

Original Issue Date

03/29/2021

Effective Date

05/05/2022

Expiration Date

03/31/2023

City

BLOOMINGTON

State

Zip

61701

County

ADAMS

Ever Disciplined

LastModifiedDate

09/07/2023