AMANDA WALLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227758

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

WALLIN

Business Name

AMANDA WALLIN

Original Issue Date

09/11/2014

Effective Date

02/16/2016

Expiration Date

03/31/2017

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017