SAMANTHA LYNN BODDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177273

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LYNN

Last Name

BODDEN

Business Name

SAMANTHA LYNN BODDEN

Original Issue Date

06/22/2007

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

OKAUCHEE

State

Zip

53069

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/10/2017