PHILIP R NORMAN DDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054830

License Status

NOT RENEWED

Business

First Name

PHILIP R

Last Name

NORMAN

Suffix

DDS

Business Name

PHILIP R NORMAN DDS

Original Issue Date

01/01/1997

Expiration Date

03/31/1993

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005