AUTUMN D HARRISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115263

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

HARRISON

Business Name

AUTUMN D HARRISON

Original Issue Date

09/16/1996

Effective Date

03/31/2015

Expiration Date

03/31/2016

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/20/2016