AMANDA M GUNBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296310

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GUNBERG

Business Name

AMANDA M GUNBERG

Original Issue Date

10/17/2012

Effective Date

10/17/2012

Expiration Date

03/31/2014

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014