AMANDA J WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167226

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

WILLIS

Business Name

AMANDA J WILLIS

Original Issue Date

04/04/2006

Effective Date

04/04/2006

Expiration Date

03/31/2007

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/14/2007