PHILLIP D NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127985

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

NELSON

Business Name

PHILLIP D NELSON

Original Issue Date

10/25/1999

Effective Date

10/25/1999

Expiration Date

03/31/2004

City

MONTGOMERY

State

Zip

60538

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005