MARTINE LATRICE PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137885

License Status

NOT RENEWED

Business

First Name

MARTINE

Middle

LATRICE

Last Name

PHILLIPS

Business Name

MARTINE LATRICE PHILLIPS

Original Issue Date

08/30/2001

Effective Date

08/30/2001

Expiration Date

03/31/2006

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006