SAMANTHA M MAKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218432

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

MAKI

Business Name

SAMANTHA M MAKI

Original Issue Date

06/04/2013

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/27/2022