AMANDA R NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164839

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

NELSON

Business Name

AMANDA R NELSON

Original Issue Date

04/11/2005

Effective Date

03/08/2012

Expiration Date

03/31/2013

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013