SAMANTHA MICKEY ISAAC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184895

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MICKEY

Last Name

ISAAC

Business Name

SAMANTHA MICKEY ISAAC

Original Issue Date

06/13/2008

Effective Date

01/20/2009

Expiration Date

03/31/2010

City

WAYNESVILLE

State

Zip

65583

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/04/2010