AMANDA S GRIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159572

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GRIM

Business Name

AMANDA S GRIM

Original Issue Date

03/16/2005

Effective Date

03/16/2005

Expiration Date

03/31/2006

City

MOUNT CARROLL

State

Zip

61053

County

CARROLL

Ever Disciplined

LastModifiedDate

06/06/2007