AMANDA NICHOLE WIECZOREK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178659

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

NICHOLE

Last Name

WIECZOREK

Business Name

AMANDA NICHOLE WIECZOREK

Original Issue Date

08/22/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

05/06/2009