AMENDA LA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051303340

License Status

NOT RENEWED

Business

First Name

AMENDA

Last Name

Business Name

AMENDA LA

Original Issue Date

08/25/2020

Effective Date

08/25/2020

Expiration Date

07/31/2022

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022