AMY DAWN SPARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124911

License Status

NOT RENEWED

Business

First Name

AMY

Middle

DAWN

Last Name

SPARKS

Business Name

AMY DAWN SPARKS

Original Issue Date

03/04/1999

Effective Date

03/04/1999

Expiration Date

03/31/2003

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

10/20/2005