STACIE M PHILLIPPI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138058

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

PHILLIPPI

Business Name

STACIE M PHILLIPPI

Original Issue Date

09/10/2001

Effective Date

09/10/2001

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60613

Ever Disciplined

LastModifiedDate

10/20/2005