PHILLIP P DEWOLF Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069360

License Status

CANCELLED

Business

First Name

PHILLIP P

Last Name

DEWOLF

Business Name

PHILLIP P DEWOLF

Original Issue Date

05/19/1978

Effective Date

05/19/1978

Expiration Date

01/01/1997

City

MOUNT CARMEL

State

Zip

62863

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005