AUTUMN K PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094625

License Status

NOT RENEWED

Business

First Name

AUTUMN K

Last Name

PARK

Business Name

AUTUMN K PARK

Original Issue Date

10/02/1990

Effective Date

10/02/1990

Expiration Date

03/31/1995

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005