AMANDA RENEE JADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143441

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

RENEE

Last Name

JADE

Business Name

AMANDA RENEE JADE

Original Issue Date

06/28/2002

Effective Date

06/28/2002

Expiration Date

03/31/2006

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006