AUTUMN M LOUCKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230571

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

LOUCKS

Prefix

Business Name

AUTUMN M LOUCKS

Original Issue Date

01/16/2015

Effective Date

01/16/2015

Expiration Date

03/31/2016

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/20/2016