AMANDA JACKLYN PAVLICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153058

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

JACKLYN

Last Name

PAVLICH

Business Name

AMANDA JACKLYN PAVLICH

Original Issue Date

01/29/2004

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012