AMANDA N LEITZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178171

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

LEITZEN

Business Name

AMANDA N LEITZEN

Original Issue Date

08/01/2007

Effective Date

03/30/2011

Expiration Date

03/31/2012

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/07/2012