SAMUEL T MASSINGILL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207299

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

MASSINGILL

Prefix

Business Name

SAMUEL T MASSINGILL

Original Issue Date

10/14/2011

Effective Date

01/18/2012

Expiration Date

03/31/2013

City

ROACHDALE

State

Zip

46172

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2013