AMANDA R ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223678

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

ANDERSON

Business Name

AMANDA R ANDERSON

Original Issue Date

03/04/2014

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

TILDEN

State

Zip

62292

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/20/2016