AUTUMN DESIREE KENNERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259488

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

DESIREE

Last Name

KENNERSON

Business Name

AUTUMN DESIREE KENNERSON

Original Issue Date

09/11/2018

Effective Date

09/11/2018

Expiration Date

03/31/2019

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

07/15/2019