AMANDA J IVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141272

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

IVERSON

Business Name

AMANDA J IVERSON

Original Issue Date

03/11/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008