AMANDA LYNN MIZELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143036

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LYNN

Last Name

MIZELL

Business Name

AMANDA LYNN MIZELL

Original Issue Date

06/06/2002

Effective Date

06/06/2002

Expiration Date

03/31/2003

City

COLFAX

State

Zip

61728

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005