AUTUMN K CLEVENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179020

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

CLEVENGER

Business Name

AUTUMN K CLEVENGER

Original Issue Date

09/06/2007

Effective Date

09/06/2007

Expiration Date

03/31/2008

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2008