AUTUMN IVY STEVENS - Pharmacist License in Illinois | # 049181540

AUTUMN IVY STEVENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181540

License Status

NOT RENEWED

Business

N

First Name

AUTUMN

Middle

IVY

Last Name

STEVENS

Business Name

AUTUMN IVY STEVENS

Original Issue Date

01/14/2008

Effective Date

01/14/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009