AUTUMN EDENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211492

License Status

NOT RENEWED

Business

First Name

AUTUMN

Last Name

EDENS

Business Name

AUTUMN EDENS

Original Issue Date

06/04/2012

Effective Date

06/04/2012

Expiration Date

03/31/2013

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013