PHILLIP JAMES FONVILLE JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235000

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

JAMES

Last Name

FONVILLE

Suffix

Business Name

PHILLIP JAMES FONVILLE JR

Original Issue Date

07/27/2015

Effective Date

07/27/2015

Expiration Date

03/31/2016

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

05/20/2016