AMANDA LEA ROWALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159327

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LEA

Last Name

ROWALD

Business Name

AMANDA LEA ROWALD

Original Issue Date

02/22/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007