AMANDA FIRMANSYAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219495

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

FIRMANSYAH

Prefix

Business Name

AMANDA FIRMANSYAH

Original Issue Date

07/22/2013

Effective Date

02/14/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018