AMANDA L BOETTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153042

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BOETTNER

Business Name

AMANDA L BOETTNER

Original Issue Date

01/29/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/14/2007