PHYLISS JEAN ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155298

License Status

NOT RENEWED

Business

First Name

PHYLISS

Middle

JEAN

Last Name

ALLEN

Business Name

PHYLISS JEAN ALLEN

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

03/31/2006

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006