AMANDA ANN ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136217

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ANN

Last Name

ALLEN

Business Name

AMANDA ANN ALLEN

Original Issue Date

05/07/2001

Effective Date

05/07/2001

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005