PHYLLIS ANN PATRICK-PUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123487

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

ANN

Last Name

PATRICK-PUGH

Business Name

PHYLLIS ANN PATRICK-PUGH

Original Issue Date

10/29/1998

Effective Date

10/29/1998

Expiration Date

03/31/2000

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005