AMANDA J FONFARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151001

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

FONFARA

Business Name

AMANDA J FONFARA

Original Issue Date

09/25/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

05/02/2008