PHYLLIS BURNS - Pharmacist License in Illinois | # 049058286

PHYLLIS BURNS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058286

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Last Name

BURNS

Business Name

PHYLLIS BURNS

Original Issue Date

08/29/1972

Effective Date

08/29/1972

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005