AMANDA LEE BRTVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132293

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LEE

Last Name

BRTVA

Business Name

AMANDA LEE BRTVA

Original Issue Date

08/21/2000

Effective Date

08/21/2000

Expiration Date

03/31/2004

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005