AMANDA L GROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188534

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GROSS

Business Name

AMANDA L GROSS

Original Issue Date

12/04/2008

Effective Date

02/01/2012

Expiration Date

03/31/2013

City

BISHOP HILL

State

Zip

61419

County

HENRY

Ever Disciplined

LastModifiedDate

05/06/2013