PHILIP ANDREW WELLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268510

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

ANDREW

Last Name

WELLS

Business Name

PHILIP ANDREW WELLS

Original Issue Date

10/17/2019

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/20/2021