AMBER LEA DAWN SKIDMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146509

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

LEA DAWN

Last Name

SKIDMORE

Business Name

AMBER LEA DAWN SKIDMORE

Original Issue Date

12/30/2002

Effective Date

12/30/2002

Expiration Date

03/31/2005

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/20/2005