AMY M PHILLIP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095483

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

PHILLIP

Business Name

AMY M PHILLIP

Original Issue Date

01/15/1991

Effective Date

01/15/1991

Expiration Date

03/31/2003

City

ROCKFORD

State

Zip

61109

Ever Disciplined

LastModifiedDate

10/20/2005