AMANDA M DALLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147009

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

DALLMAN

Business Name

AMANDA M DALLMAN

Original Issue Date

02/14/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007