AMANDA S FOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040135

License Status

NOT RENEWED

Business

First Name

AMANDA S

Last Name

FOX

Business Name

AMANDA S FOX

Original Issue Date

12/14/1994

Effective Date

12/14/1994

Expiration Date

03/31/1998

City

COATESVILLE

State

Zip

46121

County

PUTNAM

Ever Disciplined

LastModifiedDate

10/17/2005