AMANDA COLLEEN WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211928

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

COLLEEN

Last Name

WILSON

Business Name

AMANDA COLLEEN WILSON

Original Issue Date

06/28/2012

Effective Date

06/28/2012

Expiration Date

03/31/2013

City

SCOTT AIRFORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2013