PHYLLIS DAHLSTROM - Pharmacist License in Illinois | # 049052949

PHYLLIS DAHLSTROM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052949

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Last Name

DAHLSTROM

Business Name

PHYLLIS DAHLSTROM

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005