MYCHAU NGUYEN BRIKSHAVANA - Pharmacist License in Illinois | # 049143804

MYCHAU NGUYEN BRIKSHAVANA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143804

License Status

NOT RENEWED

Business

N

First Name

MYCHAU

Middle

NGUYEN

Last Name

BRIKSHAVANA

Business Name

MYCHAU NGUYEN BRIKSHAVANA

Original Issue Date

07/23/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007