AMANDA L SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139409

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

SHAW

Business Name

AMANDA L SHAW

Original Issue Date

11/29/2001

Effective Date

11/29/2001

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005