AMANDA MARIE WAISE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172453

License Status

INACTIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

WAISE

Business Name

AMANDA MARIE WAISE

Original Issue Date

11/09/2006

Effective Date

03/31/2009

Expiration Date

03/31/2010

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

01/12/2010