AMANDA RAE KOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188525

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

RAE

Last Name

KOSS

Business Name

AMANDA RAE KOSS

Original Issue Date

12/04/2008

Effective Date

04/15/2009

Expiration Date

03/31/2010

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010