AMY D POLK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097249

License Status

NOT RENEWED

Business

First Name

AMY D

Last Name

POLK

Business Name

AMY D POLK

Original Issue Date

06/19/1991

Effective Date

06/19/1991

Expiration Date

03/31/2003

City

WINDSOR

State

Zip

61957

County

SHELBY

Ever Disciplined

LastModifiedDate

10/20/2005