AMANDA M NOWAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163921

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

NOWAK

Business Name

AMANDA M NOWAK

Original Issue Date

09/15/2005

Effective Date

12/12/2017

Expiration Date

03/31/2018

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/19/2018