AMANDA JEANETTE STARK - Pharmacist License in Illinois | # 049171233

AMANDA JEANETTE STARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171233

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

JEANETTE

Last Name

STARK

Business Name

AMANDA JEANETTE STARK

Original Issue Date

09/12/2006

Effective Date

09/12/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007