PHILLIP A WILBORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141474

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

WILBORN

Business Name

PHILLIP A WILBORN

Original Issue Date

03/19/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

06/16/2008