AMANDA M SLOCOM - Pharmacist License in Illinois | # 049202215

AMANDA M SLOCOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202215

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

M

Last Name

SLOCOM

Business Name

AMANDA M SLOCOM

Original Issue Date

01/06/2011

Effective Date

01/06/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012