AMANDA K MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161463

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

MOSS

Business Name

AMANDA K MOSS

Original Issue Date

06/03/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

05/14/2007