SAMANTHA BASTING Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049316053

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

BASTING

Business Name

SAMANTHA BASTING

Original Issue Date

10/22/2024

Effective Date

02/28/2025

Expiration Date

03/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/30/2026