AMY ROSE SURPRENANT Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136888

License Status

ACTIVE

Business

First Name

AMY

Middle

ROSE

Last Name

SURPRENANT

Business Name

AMY ROSE SURPRENANT

Original Issue Date

06/29/2001

Effective Date

02/02/2026

Expiration Date

03/31/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/02/2026