AUTUMN LASHAY MARIE PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276702

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

LASHAY MARIE

Last Name

PHILLIPS

Business Name

AUTUMN LASHAY MARIE PHILLIPS

Original Issue Date

10/16/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022