PHYLLIS K SMITH - Pharmacist License in Illinois | # 049201623

PHYLLIS K SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201623

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Middle

K

Last Name

SMITH

Business Name

PHYLLIS K SMITH

Original Issue Date

11/19/2010

Effective Date

05/02/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012