AMY MARIE PAFFENROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156598

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MARIE

Last Name

PAFFENROTH

Business Name

AMY MARIE PAFFENROTH

Original Issue Date

08/12/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007