AMANDA LEA HEADY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133407

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LEA

Last Name

HEADY

Business Name

AMANDA LEA HEADY

Original Issue Date

10/30/2000

Effective Date

10/30/2000

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005