AMY LYNN DELISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183863

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

DELISE

Business Name

AMY LYNN DELISE

Original Issue Date

04/24/2008

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/28/2013