SAMANTHA S ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108095

License Status

NOT RENEWED

Business

First Name

SAMANTHA S

Last Name

ANDERSON

Business Name

SAMANTHA S ANDERSON

Original Issue Date

09/12/1994

Effective Date

09/12/1994

Expiration Date

03/31/1996

City

SOUTH BELOIT

State

Zip

61080

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005