AUTUMN J SMITHMOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236621

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

SMITHMOORE

Business Name

AUTUMN J SMITHMOORE

Original Issue Date

10/02/2015

Effective Date

10/02/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016