AMANDA NICOLE DZIUBAN - Pharmacist License in Illinois | # 049207185

AMANDA NICOLE DZIUBAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207185

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

NICOLE

Last Name

DZIUBAN

Prefix

MR

Business Name

AMANDA NICOLE DZIUBAN

Original Issue Date

10/08/2011

Effective Date

10/08/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012