AMANDA KRISTINE SOPER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145135

License Status

INACTIVE

Business

First Name

AMANDA

Middle

KRISTINE

Last Name

SOPER

Business Name

AMANDA KRISTINE SOPER

Original Issue Date

10/08/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

VICTORIA

State

Zip

61485

County

KNOX

Ever Disciplined

LastModifiedDate

01/10/2008