PHYLLIS MARIE GORDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172025

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

MARIE

Last Name

GORDON

Business Name

PHYLLIS MARIE GORDON

Original Issue Date

10/24/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2008