SAMANTHA J KURZAWA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246412

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

KURZAWA

Business Name

SAMANTHA J KURZAWA

Original Issue Date

11/18/2016

Effective Date

03/20/2018

Expiration Date

03/31/2019

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

07/15/2019