PHYLISS JEAN ALLEN - Pharmacist License in Illinois | # 049155298

PHYLISS JEAN ALLEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155298

License Status

NOT RENEWED

Business

N

First Name

PHYLISS

Middle

JEAN

Last Name

ALLEN

Business Name

PHYLISS JEAN ALLEN

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006