AMANDA ALYSE QUAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228567

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ALYSE

Last Name

QUAM

Business Name

AMANDA ALYSE QUAM

Original Issue Date

10/16/2014

Effective Date

02/18/2015

Expiration Date

03/31/2016

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

05/20/2016