AUTUMN DAWN ROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207903

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

DAWN

Last Name

ROSE

Business Name

AUTUMN DAWN ROSE

Original Issue Date

11/18/2011

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2013