PHYLLIS JOYCE PEDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132369

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

JOYCE

Last Name

PEDERSEN

Business Name

PHYLLIS JOYCE PEDERSEN

Original Issue Date

08/24/2000

Effective Date

08/24/2000

Expiration Date

03/31/2001

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005