PHILLIP A MADISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100993

License Status

NOT RENEWED

Business

First Name

PHILLIP A

Last Name

MADISON

Business Name

PHILLIP A MADISON

Original Issue Date

08/13/1992

Effective Date

08/13/1992

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005