AMANDA MARIE PEERBOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193461

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

PEERBOOM

Business Name

AMANDA MARIE PEERBOOM

Original Issue Date

08/05/2009

Effective Date

03/07/2014

Expiration Date

03/31/2015

City

CRESTVIEW

State

Zip

32536

Ever Disciplined

LastModifiedDate

05/11/2015