PHYLLIS MAE PICOLOTTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254179

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

MAE

Last Name

PICOLOTTI

Business Name

PHYLLIS MAE PICOLOTTI

Original Issue Date

11/06/2017

Effective Date

03/15/2018

Expiration Date

03/31/2019

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

07/15/2019