PHILLIP D MODERSOHN - Pharmacist License in Illinois | # 049047078

PHILLIP D MODERSOHN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049047078

License Status

NOT RENEWED

Business

N

First Name

PHILLIP D

Last Name

MODERSOHN

Business Name

PHILLIP D MODERSOHN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005