AMBER D WATERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156225

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

WATERMAN

Business Name

AMBER D WATERMAN

Original Issue Date

07/27/2004

Effective Date

07/27/2004

Expiration Date

03/31/2006

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/11/2006