PHYLLIS FOGELMAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062726

License Status

CANCELLED

Business

First Name

PHYLLIS

Last Name

FOGELMAN

Business Name

PHYLLIS FOGELMAN

Original Issue Date

12/27/1974

Effective Date

12/27/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005