AMANDA J WADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162736

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

WADE

Business Name

AMANDA J WADE

Original Issue Date

08/04/2005

Effective Date

08/04/2005

Expiration Date

03/31/2006

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006