AMANDA L GROGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180027

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GROGAN

Business Name

AMANDA L GROGAN

Original Issue Date

10/18/2007

Effective Date

06/28/2017

Expiration Date

03/31/2018

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

06/19/2018