PHYLLIS KIRKWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067433

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

KIRKWOOD

Business Name

PHYLLIS KIRKWOOD

Original Issue Date

06/03/1977

Effective Date

06/03/1977

Expiration Date

03/31/1982

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005