AMANDA COSTAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267947

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

COSTAIN

Business Name

AMANDA COSTAIN

Original Issue Date

09/19/2019

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021