AMANDA J WADE - Pharmacist License in Illinois | # 049162736

AMANDA J WADE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162736

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

J

Last Name

WADE

Business Name

AMANDA J WADE

Original Issue Date

08/04/2005

Effective Date

08/04/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006