AMANDA MICHELLE MANSFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133176

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MICHELLE

Last Name

MANSFIELD

Business Name

AMANDA MICHELLE MANSFIELD

Original Issue Date

10/16/2000

Effective Date

10/16/2000

Expiration Date

03/31/2004

City

CANTON

State

Zip

61520

Ever Disciplined

LastModifiedDate

10/20/2005