AUTUMN B PAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142608

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

PAK

Business Name

AUTUMN B PAK

Original Issue Date

05/28/2002

Effective Date

05/28/2002

Expiration Date

03/31/2006

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2006