AMANDA ANN PENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125428

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ANN

Last Name

PENA

Business Name

AMANDA ANN PENA

Original Issue Date

04/13/1999

Effective Date

05/26/2011

Expiration Date

03/31/2012

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012