PHYLLIS A CARLSON - Pharmacist License in Illinois | # 049165325

PHYLLIS A CARLSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165325

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Middle

A

Last Name

CARLSON

Business Name

PHYLLIS A CARLSON

Original Issue Date

12/02/2005

Effective Date

12/02/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

03/22/2007