AMY MAN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240353

License Status

NOT RENEWED

Business

Title

First Name

AMY

Last Name

MAN

Prefix

Business Name

AMY MAN MD

Original Issue Date

03/22/2016

Effective Date

03/22/2016

Expiration Date

03/31/2017

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2017