EDMOND W QUILLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153054

License Status

NOT RENEWED

Business

First Name

EDMOND

Middle

Last Name

QUILLEN

Business Name

EDMOND W QUILLEN

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

03/31/2006

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006