SAMANTHA SHANNON BASTOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299763

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

SHANNON

Last Name

BASTOW

Business Name

SAMANTHA SHANNON BASTOW

Original Issue Date

08/17/2016

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

CHICAGO

State

Zip

60608

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/14/2022