AMANDA RO URBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214190

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

URBAN

Prefix

Business Name

AMANDA RO URBAN

Original Issue Date

10/22/2012

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019