CHIQUITA RENETTE PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128911

License Status

NOT RENEWED

Business

First Name

CHIQUITA

Middle

RENETTE

Last Name

PHILLIPS

Business Name

CHIQUITA RENETTE PHILLIPS

Original Issue Date

01/11/2000

Effective Date

01/11/2000

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005