AMANDA K BONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269242

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BONG

Business Name

AMANDA K BONG

Original Issue Date

11/15/2019

Effective Date

11/15/2019

Expiration Date

09/30/2020

City

MANITO

State

Zip

61546

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/08/2021