AMY ELIZABETH BANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119209

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELIZABETH

Last Name

BANE

Business Name

AMY ELIZABETH BANE

Original Issue Date

10/28/1997

Effective Date

10/28/1997

Expiration Date

03/31/1998

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005