PHYLLIS HODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077713

License Status

NOT RENEWED

Business

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

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005