PHYLLIS A CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165325

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

CARLSON

Business Name

PHYLLIS A CARLSON

Original Issue Date

12/02/2005

Effective Date

12/02/2005

Expiration Date

03/31/2006

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

03/22/2007