AMANDA M COFFIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175053

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

COFFIN

Business Name

AMANDA M COFFIN

Original Issue Date

03/22/2007

Effective Date

09/03/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011