PHYLLIS JOANN GREENWALT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152544

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

JOANN

Last Name

GREENWALT

Business Name

PHYLLIS JOANN GREENWALT

Original Issue Date

12/17/2003

Effective Date

05/21/2010

Expiration Date

03/31/2011

City

NOKOMIS

State

Zip

62075

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/12/2011