AMANDA M DISTASIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165933

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

DISTASIO

Business Name

AMANDA M DISTASIO

Original Issue Date

01/05/2006

Effective Date

01/05/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60638

Ever Disciplined

LastModifiedDate

05/14/2007