AMY E ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130682

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

ANDERSON

Business Name

AMY E ANDERSON

Original Issue Date

04/26/2000

Effective Date

04/26/2000

Expiration Date

03/31/2003

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005