MANDY J STORM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178870

License Status

NOT RENEWED

Business

First Name

MANDY

Middle

Last Name

STORM

Business Name

MANDY J STORM

Original Issue Date

08/30/2007

Effective Date

08/30/2007

Expiration Date

03/31/2008

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/02/2008