MICHAEL DAT PHUNG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124428

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAT

Last Name

PHUNG

Business Name

MICHAEL DAT PHUNG

Original Issue Date

01/12/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PARKER

State

Zip

80134

County

COLORADO

Ever Disciplined

LastModifiedDate

05/14/2007