PHYLLIS STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057977

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

STEVENS

Business Name

PHYLLIS STEVENS

Original Issue Date

06/24/1972

Effective Date

06/24/1972

Expiration Date

01/01/1997

City

LAGRANGE

State

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005