AMANDA I IDERAN - Pharmacist License in Illinois | # 049242802

AMANDA I IDERAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242802

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

I

Last Name

IDERAN

Business Name

AMANDA I IDERAN

Original Issue Date

06/29/2016

Effective Date

03/05/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019