SYLVIA MARIE AUTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153884

License Status

NOT RENEWED

Business

First Name

SYLVIA

Middle

MARIE

Last Name

AUTMAN

Business Name

SYLVIA MARIE AUTMAN

Original Issue Date

03/25/2004

Effective Date

03/25/2004

Expiration Date

03/31/2005

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2005