PHILLIP EDWARD PANUNCIALMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263282

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

EDWARD

Last Name

PANUNCIALMAN

Business Name

PHILLIP EDWARD PANUNCIALMAN

Original Issue Date

02/13/2019

Effective Date

02/13/2019

Expiration Date

09/30/2020

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/08/2021