CHEYENNE AUTUMN PERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180448

License Status

NOT RENEWED

Business

First Name

CHEYENNE

Middle

AUTUMN

Last Name

PERRY

Business Name

CHEYENNE AUTUMN PERRY

Original Issue Date

11/08/2007

Effective Date

11/08/2007

Expiration Date

03/31/2008

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/02/2008