AMANDA L DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185074

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

DAVIS

Business Name

AMANDA L DAVIS

Original Issue Date

06/19/2008

Effective Date

01/30/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010