PHILLIP LEE FROST - Pharmacist License in Illinois | # 049123621

PHILLIP LEE FROST

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123621

License Status

NOT RENEWED

Business

N

First Name

PHILLIP

Middle

LEE

Last Name

FROST

Business Name

PHILLIP LEE FROST

Original Issue Date

11/09/1998

Effective Date

11/09/1998

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005