GERVAISE SARAH PHILLIPS JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141633

License Status

NOT RENEWED

Business

First Name

GERVAISE

Middle

SARAH

Last Name

PHILLIPS

Suffix

Business Name

GERVAISE SARAH PHILLIPS JR

Original Issue Date

04/01/2002

Effective Date

04/01/2002

Expiration Date

03/31/2006

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006