AMANDA N TUCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188773

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

TUCKER

Business Name

AMANDA N TUCKER

Original Issue Date

12/17/2008

Effective Date

12/17/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009