PHILIP DAMIEN PETRILLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057965

License Status

NOT RENEWED

Business

First Name

PHILIP DAMIEN

Last Name

PETRILLI

Business Name

PHILIP DAMIEN PETRILLI

Original Issue Date

06/24/1972

Effective Date

06/24/1972

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005