AMY BETH POLODNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118026

License Status

NOT RENEWED

Business

First Name

AMY

Middle

BETH

Last Name

POLODNA

Business Name

AMY BETH POLODNA

Original Issue Date

07/03/1997

Effective Date

07/03/1997

Expiration Date

03/31/2004

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005