AMANDA CAROL PERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154520

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

CAROL

Last Name

PERRY

Business Name

AMANDA CAROL PERRY

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2005

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/20/2005