AMANDA KAYE VIVAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266811

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

KAYE

Last Name

VIVAR

Business Name

AMANDA KAYE VIVAR

Original Issue Date

07/23/2019

Effective Date

07/23/2019

Expiration Date

09/30/2020

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021