AMANDA ROSE MIDDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147145

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ROSE

Last Name

MIDDEN

Business Name

AMANDA ROSE MIDDEN

Original Issue Date

02/24/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008