AMANDA J BLANK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186099

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BLANK

Business Name

AMANDA J BLANK

Original Issue Date

08/12/2008

Effective Date

03/29/2022

Expiration Date

03/31/2023

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/07/2023