AMY GAYLE PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216625

License Status

NOT RENEWED

Business

First Name

AMY

Middle

GAYLE

Last Name

PARK

Business Name

AMY GAYLE PARK

Original Issue Date

03/19/2013

Effective Date

02/10/2014

Expiration Date

03/31/2015

City

TOLUCA

State

Zip

61369

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/11/2015