AMY MICHELLE DAUGHENBAUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133966

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MICHELLE

Last Name

DAUGHENBAUGH

Business Name

AMY MICHELLE DAUGHENBAUGH

Original Issue Date

12/11/2000

Effective Date

12/11/2000

Expiration Date

03/31/2005

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005