SAMANTHA SHANNON BASTOW - Pharmacist License in Illinois | # 051299763

SAMANTHA SHANNON BASTOW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299763

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2022