MADELINE R PHILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228314

License Status

NOT RENEWED

Business

First Name

MADELINE

Middle

Last Name

PHILLIS

Business Name

MADELINE R PHILLIS

Original Issue Date

10/06/2014

Effective Date

08/11/2017

Expiration Date

03/31/2018

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

06/19/2018