AMANDA J HETLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211139

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

HETLAND

Prefix

Business Name

AMANDA J HETLAND

Original Issue Date

05/17/2012

Effective Date

01/22/2013

Expiration Date

03/31/2014

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014