AUDREY GRACE SALM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277801

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

GRACE

Last Name

SALM

Business Name

AUDREY GRACE SALM

Original Issue Date

12/08/2020

Effective Date

03/09/2021

Expiration Date

05/31/2022

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

07/27/2022