AMY NICHOLE HUSTED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161390

License Status

NOT RENEWED

Business

First Name

AMY

Middle

NICHOLE

Last Name

HUSTED

Business Name

AMY NICHOLE HUSTED

Original Issue Date

05/31/2005

Effective Date

05/31/2005

Expiration Date

03/31/2006

City

ATWOOD

State

Zip

61913

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/11/2006