PHYLLIS A HENRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134810

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

HENRY

Business Name

PHYLLIS A HENRY

Original Issue Date

02/27/2001

Effective Date

02/27/2001

Expiration Date

03/31/2004

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/20/2005