ANASTASIA M PHELPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123606

License Status

NOT RENEWED

Business

First Name

ANASTASIA

Middle

Last Name

PHELPS

Business Name

ANASTASIA M PHELPS

Original Issue Date

11/09/1998

Effective Date

11/09/1998

Expiration Date

03/31/1999

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005