AUTUMN ROSE LISSA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275237

License Status

ACTIVE

Business

First Name

AUTUMN

Middle

ROSE

Last Name

LISSA

Business Name

AUTUMN ROSE LISSA

Original Issue Date

08/21/2020

Effective Date

02/24/2026

Expiration Date

03/31/2027

City

ROCKTON

State

Zip

61072

Ever Disciplined

LastModifiedDate

02/24/2026