AMANDA K KIRK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192852

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

KIRK

Prefix

Business Name

AMANDA K KIRK

Original Issue Date

07/07/2009

Effective Date

03/15/2017

Expiration Date

03/31/2018

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

06/19/2018