AMANDA DEBLAEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072186

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

DEBLAEY

Business Name

AMANDA DEBLAEY

Original Issue Date

11/28/1979

Effective Date

11/28/1979

Expiration Date

01/01/1997

City

RAPID CITY

State

Zip

61278

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005