PHYLLISTINE SIMMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162301

License Status

NOT RENEWED

Business

First Name

PHYLLISTINE

Last Name

SIMMONS

Business Name

PHYLLISTINE SIMMONS

Original Issue Date

07/15/2005

Effective Date

07/15/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006