ROSELYN SIPHENGPHONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152844

License Status

NOT RENEWED

Business

First Name

ROSELYN

Last Name

SIPHENGPHONE

Business Name

ROSELYN SIPHENGPHONE

Original Issue Date

01/13/2004

Effective Date

01/13/2004

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005