AMANDA M VERGARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149203

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

VERGARA

Business Name

AMANDA M VERGARA

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

03/31/2004

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005