SHALI AUTUMN GREATHOUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257053

License Status

NOT RENEWED

Business

First Name

SHALI

Middle

AUTUMN

Last Name

GREATHOUSE

Business Name

SHALI AUTUMN GREATHOUSE

Original Issue Date

03/28/2018

Effective Date

03/28/2018

Expiration Date

03/31/2019

City

WEST SALEM

State

Zip

62476

County

EDWARDS

Ever Disciplined

LastModifiedDate

07/15/2019