MARJORIE ALENE PHILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058955

License Status

NOT RENEWED

Business

First Name

MARJORIE ALENE

Last Name

PHILLIS

Business Name

MARJORIE ALENE PHILLIS

Original Issue Date

01/15/1973

Effective Date

01/15/1973

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005