AMANDA M VAN DYKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157677

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

VAN DYKE

Business Name

AMANDA M VAN DYKE

Original Issue Date

10/28/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008