AMANDA J DAVIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153312

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

DAVIS

Business Name

AMANDA J DAVIS

Original Issue Date

02/23/2004

Effective Date

01/20/2009

Expiration Date

03/31/2010

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/12/2010