PHILLIP DUANE WEAVER - Pharmacist License in Illinois | # 049063630

PHILLIP DUANE WEAVER

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063630

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/20/2007