LYDIA DIANE PHASON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059991

License Status

NOT RENEWED

Business

First Name

LYDIA DIANE

Last Name

PHASON

Business Name

LYDIA DIANE PHASON

Original Issue Date

07/27/1973

Effective Date

07/27/1973

Expiration Date

01/01/1997

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005