AUTUMN D GROTHAUS Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233520

License Status

ACTIVE

Business

First Name

AUTUMN

Middle

Last Name

GROTHAUS

Prefix

Business Name

AUTUMN D GROTHAUS

Original Issue Date

06/04/2015

Effective Date

03/09/2026

Expiration Date

03/31/2027

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/09/2026