BAO AN PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191529

License Status

NOT RENEWED

Business

First Name

BAO AN

Last Name

PHAM

Prefix

Business Name

BAO AN PHAM

Original Issue Date

05/07/2009

Effective Date

05/07/2009

Expiration Date

03/31/2010

City

IOWA CITY

State

Zip

52246

County

IOWA

Ever Disciplined

LastModifiedDate

05/04/2010