AMY L EWALT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189612

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

EWALT

Prefix

Business Name

AMY L EWALT

Original Issue Date

02/11/2009

Effective Date

02/11/2009

Expiration Date

03/31/2010

City

CUBA

State

Zip

61427

County

FULTON

Ever Disciplined

LastModifiedDate

05/04/2010