ANH NGOC PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068642

License Status

NOT RENEWED

Business

First Name

ANH NGOC

Last Name

PHAN

Business Name

ANH NGOC PHAN

Original Issue Date

12/30/1977

Effective Date

12/30/1977

Expiration Date

01/01/1997

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005