AMANDA J DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109114

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

DOUGLAS

Business Name

AMANDA J DOUGLAS

Original Issue Date

01/10/1995

Effective Date

01/10/1995

Expiration Date

03/31/2002

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005