AMANDA NICOLE TISDALE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268041

License Status

ACTIVE

Business

First Name

AMANDA

Middle

NICOLE

Last Name

TISDALE

Business Name

AMANDA NICOLE TISDALE

Original Issue Date

09/24/2019

Effective Date

03/01/2026

Expiration Date

03/31/2027

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

03/01/2026