AMANDA ROSE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135228

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ROSE

Last Name

DAVIS

Business Name

AMANDA ROSE DAVIS

Original Issue Date

03/16/2001

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009