AMANDA J SWANSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139664

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

SWANSON

Business Name

AMANDA J SWANSON

Original Issue Date

12/21/2001

Effective Date

12/21/2001

Expiration Date

03/31/2004

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/20/2005