AMANDA M DISTASIO - Pharmacist License in Illinois | # 049165933

AMANDA M DISTASIO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165933

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

M

Last Name

DISTASIO

Business Name

AMANDA M DISTASIO

Original Issue Date

01/05/2006

Effective Date

01/05/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007