MEAGAN MICHELLE PHALEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141403

License Status

NOT RENEWED

Business

First Name

MEAGAN

Middle

MICHELLE

Last Name

PHALEN

Business Name

MEAGAN MICHELLE PHALEN

Original Issue Date

03/14/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/14/2007