PHYLLIS KIDDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059160

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

KIDDER

Business Name

PHYLLIS KIDDER

Original Issue Date

03/02/1973

Effective Date

03/02/1973

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005