AMANDA M PUCEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158334

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

PUCEL

Business Name

AMANDA M PUCEL

Original Issue Date

12/14/2004

Effective Date

12/14/2004

Expiration Date

03/31/2006

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/11/2006