AMANDA SUE CROCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271470

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

SUE

Last Name

CROCKER

Business Name

AMANDA SUE CROCKER

Original Issue Date

03/04/2020

Effective Date

03/11/2021

Expiration Date

05/31/2022

City

DAVENPORT

State

Zip

52804

Ever Disciplined

LastModifiedDate

07/27/2022