AMANDA NICHOLE LONGTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182705

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

NICHOLE

Last Name

LONGTIN

Business Name

AMANDA NICHOLE LONGTIN

Original Issue Date

03/10/2008

Effective Date

03/06/2009

Expiration Date

03/31/2010

City

MCCORDSVILLE

State

Zip

46055

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010