DEVIDA J AUTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181203

License Status

NOT RENEWED

Business

First Name

DEVIDA

Middle

Last Name

AUTMAN

Business Name

DEVIDA J AUTMAN

Original Issue Date

12/19/2007

Effective Date

02/23/2010

Expiration Date

03/31/2011

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011