PHYLLIS JEAN ARNOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158975

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

JEAN

Last Name

ARNOLD

Business Name

PHYLLIS JEAN ARNOLD

Original Issue Date

01/28/2005

Effective Date

03/12/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015