AMANDA LILIAN GALLINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146451

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LILIAN

Last Name

GALLINA

Business Name

AMANDA LILIAN GALLINA

Original Issue Date

12/19/2002

Effective Date

04/01/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015