AMANDA GRACE MIRELES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193815

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

GRACE

Last Name

MIRELES

Business Name

AMANDA GRACE MIRELES

Original Issue Date

08/24/2009

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011