JEAN AUTEBERRY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092295

License Status

INACTIVE

Business

First Name

JEAN

Last Name

AUTEBERRY

Business Name

JEAN AUTEBERRY

Original Issue Date

02/15/1990

Effective Date

03/29/2017

Expiration Date

03/31/2018

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/12/2018