SAMANTHA GONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283310

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

GONG

Business Name

SAMANTHA GONG

Original Issue Date

06/16/2021

Effective Date

06/16/2021

Expiration Date

05/31/2022

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022