AMANDA N COCKRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167644

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

COCKRELL

Business Name

AMANDA N COCKRELL

Original Issue Date

04/11/2006

Effective Date

03/23/2015

Expiration Date

03/31/2016

City

OGDEN

State

Zip

61859

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2016