PHILLIP DUANE WEAVER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063630

License Status

CANCELLED

Business

First Name

PHILLIP DUANE

Last Name

WEAVER

Business Name

PHILLIP DUANE WEAVER

Original Issue Date

06/06/1975

Effective Date

06/06/1975

Expiration Date

01/01/1997

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

06/20/2007