AMANDA K ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286501

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

ANDERSON

Business Name

AMANDA K ANDERSON

Original Issue Date

10/20/2021

Effective Date

10/20/2021

Expiration Date

05/31/2022

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022