PHOENIX MAINARD - Pharmacist License in Illinois | # 049287385

PHOENIX MAINARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287385

License Status

NOT RENEWED

Business

N

First Name

PHOENIX

Last Name

MAINARD

Business Name

PHOENIX MAINARD

Original Issue Date

11/01/2021

Effective Date

02/23/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023