PHYLLIS MARIE SAMPSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049304497

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

MARIE

Last Name

SAMPSON

Business Name

PHYLLIS MARIE SAMPSON

Original Issue Date

08/01/2023

Effective Date

08/01/2023

Expiration Date

03/31/2024

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/03/2025