AMANDA M VERGARA - Pharmacist License in Illinois | # 049149203

AMANDA M VERGARA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149203

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

M

Last Name

VERGARA

Business Name

AMANDA M VERGARA

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005