AMY M STIDHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168576

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

STIDHAM

Business Name

AMY M STIDHAM

Original Issue Date

05/10/2006

Effective Date

05/10/2006

Expiration Date

03/31/2007

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007