MICHAEL K PHELAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100900

License Status

NOT RENEWED

Business

First Name

MICHAEL K

Last Name

PHELAN

Business Name

MICHAEL K PHELAN

Original Issue Date

08/10/1992

Effective Date

08/10/1992

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005