AUTUMN K CLEVENGER - Pharmacist License in Illinois | # 049179020

AUTUMN K CLEVENGER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179020

License Status

NOT RENEWED

Business

N

First Name

AUTUMN

Middle

K

Last Name

CLEVENGER

Business Name

AUTUMN K CLEVENGER

Original Issue Date

09/06/2007

Effective Date

09/06/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008