MARY AMANDA LUTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049044172

License Status

NOT RENEWED

Business

First Name

MARY AMANDA

Last Name

LUTZ

Business Name

MARY AMANDA LUTZ

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MOUND CITY

State

Zip

62963

County

PULASKI

Ever Disciplined

LastModifiedDate

10/17/2005