AUTUMN ELIZABETH SOUTHCOMBE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289100

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

ELIZABETH

Last Name

SOUTHCOMBE

Business Name

AUTUMN ELIZABETH SOUTHCOMBE

Original Issue Date

12/23/2021

Effective Date

12/23/2021

Expiration Date

05/31/2022

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

07/27/2022