AMY M CUMPATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178332

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

CUMPATA

Business Name

AMY M CUMPATA

Original Issue Date

08/09/2007

Effective Date

08/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008