PHYLLISTINE SIMMONS - Pharmacist License in Illinois | # 049162301

PHYLLISTINE SIMMONS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162301

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006