SAMANTHA N SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049284494

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SMITH

Business Name

SAMANTHA N SMITH

Original Issue Date

08/04/2021

Effective Date

08/04/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022