PHILLIP MICHAEL ANCIAUX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211506

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

MICHAEL

Last Name

ANCIAUX

Business Name

PHILLIP MICHAEL ANCIAUX

Original Issue Date

06/05/2012

Effective Date

02/25/2013

Expiration Date

03/31/2014

City

CORALVILLE

State

Zip

52241

County

IOWA

Ever Disciplined

LastModifiedDate

05/06/2014