AMANDA LEA ETIENNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151562

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LEA

Last Name

ETIENNE

Business Name

AMANDA LEA ETIENNE

Original Issue Date

10/15/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

05/06/2009