PHILLIP A MADISON - Pharmacist License in Illinois | # 049100993

PHILLIP A MADISON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100993

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005