PHYLLIS A POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062592

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

POWELL

Business Name

PHYLLIS A POWELL

Original Issue Date

11/22/1974

Effective Date

11/22/1974

Expiration Date

01/01/1997

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005