GAYLEN MELVIN AUTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049041101

License Status

NOT RENEWED

Business

First Name

GAYLEN MELVIN

Last Name

AUTEN

Business Name

GAYLEN MELVIN AUTEN

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005