AMY D ANTAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132810

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

ANTAS

Business Name

AMY D ANTAS

Original Issue Date

09/21/2000

Effective Date

09/21/2000

Expiration Date

03/31/2001

City

ANNA

State

Zip

62906

Ever Disciplined

LastModifiedDate

10/21/2005