WANTASHA ANNETTE PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266022

License Status

NOT RENEWED

Business

First Name

WANTASHA

Middle

ANNETTE

Last Name

PHILLIPS

Business Name

WANTASHA ANNETTE PHILLIPS

Original Issue Date

06/14/2019

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/20/2021