SAMANTHA MARIE HAASE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289079

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

HAASE

Business Name

SAMANTHA MARIE HAASE

Original Issue Date

12/23/2021

Effective Date

03/16/2024

Expiration Date

03/31/2025

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/08/2025