AMANDA RENEE BULDTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142572

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

RENEE

Last Name

BULDTMAN

Business Name

AMANDA RENEE BULDTMAN

Original Issue Date

05/24/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/02/2008