AMANDA LEIGH MAROLT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172056

License Status

INACTIVE

Business

First Name

AMANDA

Middle

LEIGH

Last Name

MAROLT

Business Name

AMANDA LEIGH MAROLT

Original Issue Date

10/25/2006

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

01/10/2021