AMANDA L NEAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155130

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

NEAL

Business Name

AMANDA L NEAL

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

03/31/2005

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005