AMANDA NICOLE KOLDITZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126938

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

NICOLE

Last Name

KOLDITZ

Business Name

AMANDA NICOLE KOLDITZ

Original Issue Date

08/10/1999

Effective Date

08/10/1999

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005