SAMANTHA CHRISTINE PETERSEN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049320041

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

CHRISTINE

Last Name

PETERSEN

Business Name

SAMANTHA CHRISTINE PETERSEN

Original Issue Date

04/29/2025

Effective Date

03/17/2026

Expiration Date

03/31/2027

City

ROANOKE

State

Zip

61561

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/17/2026