AMANDA MARIE DEBRUIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291686

License Status

INACTIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

DEBRUIN

Business Name

AMANDA MARIE DEBRUIN

Original Issue Date

02/07/2007

Effective Date

02/07/2007

Expiration Date

03/31/2008

City

TAMPA

State

Zip

33626

Ever Disciplined

LastModifiedDate

01/10/2008