AMANDA L MONIGOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186755

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

MONIGOLD

Business Name

AMANDA L MONIGOLD

Original Issue Date

08/28/2008

Effective Date

02/24/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2010

Case Number

2010001713

Action

Refuse To Renew

Discipline Start Date

05/06/2010

Discipline Reason

after diverted controlled substances from her former pharmacy employer for intended self-use.