AMANDA KATHLEEN PORTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269809

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

KATHLEEN

Last Name

PORTER

Business Name

AMANDA KATHLEEN PORTER

Original Issue Date

12/12/2019

Effective Date

12/12/2019

Expiration Date

09/30/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2021