AMANDA MARIE MEMKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156993

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

MEMKEN

Business Name

AMANDA MARIE MEMKEN

Original Issue Date

08/30/2004

Effective Date

03/09/2011

Expiration Date

03/31/2012

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012