PENNY L AUTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096701

License Status

NOT RENEWED

Business

First Name

PENNY L

Last Name

AUTEN

Business Name

PENNY L AUTEN

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

03/31/1993

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/17/2005