AMY K MADHIWALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142360

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

MADHIWALA

Business Name

AMY K MADHIWALA

Original Issue Date

05/09/2002

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012