GAYLEN MELVIN AUTEN - Pharmacist License in Illinois | # 049041101

GAYLEN MELVIN AUTEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049041101

License Status

NOT RENEWED

Business

N

First Name

GAYLEN MELVIN

Last Name

AUTEN

Business Name

GAYLEN MELVIN AUTEN

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005