PHYLLIS DAHLSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052949

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

DAHLSTROM

Business Name

PHYLLIS DAHLSTROM

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005