PHYLLIS A FOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094066

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

FOX

Business Name

PHYLLIS A FOX

Original Issue Date

08/04/1990

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/14/2007