AMANDA JO WAYMOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219293

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

WAYMOTH

Business Name

AMANDA JO WAYMOTH

Original Issue Date

07/12/2013

Effective Date

03/10/2017

Expiration Date

03/31/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

06/19/2018