MATTHEW W PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113179

License Status

NOT RENEWED

Business

First Name

MATTHEW W

Last Name

PHILLIPS

Business Name

MATTHEW W PHILLIPS

Original Issue Date

01/31/1996

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007