AMANDA M SLOCOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202215

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

SLOCOM

Business Name

AMANDA M SLOCOM

Original Issue Date

01/06/2011

Effective Date

01/06/2011

Expiration Date

03/31/2012

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012