AUTUMN NICOLE MANLY Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049321197

License Status

ACTIVE

Business

First Name

AUTUMN

Middle

NICOLE

Last Name

MANLY

Business Name

AUTUMN NICOLE MANLY

Original Issue Date

06/13/2025

Effective Date

03/17/2026

Expiration Date

03/31/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/17/2026