AMANDA HELEN ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149367

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

HELEN

Last Name

ANDERSON

Business Name

AMANDA HELEN ANDERSON

Original Issue Date

06/30/2003

Effective Date

06/30/2003

Expiration Date

03/31/2005

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005