SAMANTHA JOANN DUSAVAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283237

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

JOANN

Last Name

DUSAVAGE

Business Name

SAMANTHA JOANN DUSAVAGE

Original Issue Date

06/16/2021

Effective Date

06/16/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022