PETE PHUNGOC PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251575

License Status

NOT RENEWED

Business

First Name

PETE

Middle

PHUNGOC

Last Name

PHAM

Business Name

PETE PHUNGOC PHAM

Original Issue Date

06/29/2017

Effective Date

02/14/2018

Expiration Date

03/31/2019

City

KINGMAN

State

Zip

86401

Ever Disciplined

LastModifiedDate

07/15/2019