AMANDA J PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206045

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

PAYNE

Business Name

AMANDA J PAYNE

Original Issue Date

08/16/2011

Effective Date

08/16/2011

Expiration Date

03/31/2012

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

05/07/2012