PHYLLIS HODGE - Pharmacist License in Illinois | # 049077713

PHYLLIS HODGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077713

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Last Name

HODGE

Business Name

PHYLLIS HODGE

Original Issue Date

01/24/1983

Effective Date

01/24/1983

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005