AMY JO TREVATHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061490

License Status

NOT RENEWED

Business

First Name

AMY JO

Last Name

TREVATHAN

Business Name

AMY JO TREVATHAN

Original Issue Date

05/17/1974

Effective Date

05/17/1974

Expiration Date

01/01/1997

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005