AMANDA M MYTKOWICZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051294441

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

MYTKOWICZ

Business Name

AMANDA M MYTKOWICZ

Original Issue Date

08/04/2010

Effective Date

01/26/2012

Expiration Date

03/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014