AMANDA NICOLE DZIUBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207185

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

NICOLE

Last Name

DZIUBAN

Prefix

Business Name

AMANDA NICOLE DZIUBAN

Original Issue Date

10/08/2011

Effective Date

10/08/2011

Expiration Date

03/31/2012

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012