AMANDA FIRMANSYAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051300775

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

FIRMANSYAH

Prefix

Business Name

AMANDA FIRMANSYAH

Original Issue Date

09/21/2017

Effective Date

02/26/2018

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60077

Ever Disciplined

LastModifiedDate

01/14/2021