AUTUMN A ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215831

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

ANDERSON

Business Name

AUTUMN A ANDERSON

Original Issue Date

02/01/2013

Effective Date

02/01/2013

Expiration Date

03/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/06/2014