AMANDA M WHITE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162925

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

WHITE

Business Name

AMANDA M WHITE

Original Issue Date

08/11/2005

Effective Date

03/15/2011

Expiration Date

03/31/2012

City

COULTERVILLE

State

Zip

62237

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/12/2012