AUTUMN M WHITCANACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233059

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

WHITCANACK

Business Name

AUTUMN M WHITCANACK

Original Issue Date

05/14/2015

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/20/2021