AMY J EISENMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123360

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

EISENMAN

Business Name

AMY J EISENMAN

Original Issue Date

10/22/1998

Effective Date

10/22/1998

Expiration Date

03/31/2001

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/21/2005